Abstract
We applied single-incision laparoscopy-assisted surgery for several different types of bowel obstruction in selected patients. Before the operation, a long nasal tube was inserted for intestinal decompression and assessment of a stenotic lesion. A specially-designed instrument for single-incision laparoscopic surgery, the SILS Port, was introduced at the umbilicus or proposed ileostomy site. After intracorporeal procedures, extracorporeal resection and reconstruction of the intestine was performed as needed. Three patients with bowel obstruction due to jejunal carcinoma, colonic stenosis, and adhesion underwent single-incision laparoscopy-assisted surgery. The port site was used for subsequent extracorporeal resection and anastomosis of the jejunum in two patients, and for ileostomy in the remaining patient. All of the procedures were completed safely, and there were no postoperative complications. Single-incision laparoscopy can therefore be applied for selected patients with bowel obstruction. In such cases, the preoperative insertion of a long nasal tube for decompression of intestinal contents and assessment of the stenotic lesion is necessary.
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References
Piskun G, Rajpal S. Transumbilical laparoscopic cholecystectomy utilizes no incisions outside the umbilicus. J Laparoendosc Adv Surg Tech A 1999;9:361–364.
Cuesta MA, Berends F, Veenhof AAFA. The “invisible cholecystectomy”: a transumbilical laparoscopic operation without a scar. Surg Endosc 2008;22:1211–1213.
Hong TH, You YK, Lee KH. Transumbilical single-port laparoscopic cholecystectomy. Scarless cholecystectomy. Surg Endosc 2009;23:1393–1397.
Merchant AM, Lin E. Single-incision laparoscopic right hemicolectomy for a colon mass. Dis Colon Rectum 2009;52:1021–1024.
Hong TH, Kim HL, Lee YS, Kim JJ, Lee KH, You YK, et al. Transumbilical single-port laparoscopic appendectomy (TUSPLA): Scarless intracorporeal appendectomy. J Laparoendosc Adv Surg Tech A 2009;19:75–78.
Saber AA, El-Ghazaly TH, Minnick DB. Single port access transumbilical laparoscopic Roux-en-Y gastric bypass using the SILS port: First reported case. Surg Innov 2009;16:343–347.
Wang Q, Hu ZQ, Wang WJ, Zhang J, Wang Y, Ruan CP. Laparoscopic management of recurrent adhesive small-bowel obstruction: long-term follow-up. Surg Today 2009;39:493–499.
Szomstein S, Lo Menzo E, Simpfendorfer C, Zundel N, Rosenthal RJ. Laparoscopic lysis of adhesion. World J Surg 2006;30:535–540.
Mancini GJ, Petroski GF, Lin WC, Sporn E, Miedema BW, Thaler K. Nationalwide impact of laparoscopic lysis of adhesion in the management of intestinal obstruction in the US. J Am Coll Surg 2008;207:520–526.
Alhindawi R, Kelly N, Holubar S. Incisionless Hartmann’s procedure: an innovative minimal access technique for surgical treatment of sigmoid volvulus in debilitated patients with faecal incontinence. Tech Coloproctol 2008;12:337–339.
Muntean V, Mihailov A, Iancu C, Toganel R, Fabian O, Domsa I, et al. Staging laparoscopy in gastric cancer. Accuracy and impact on therapy. J Gastrointest Liver Dis 2009;18:189–195.
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Ohtsuka, T., Nagai, E., Toma, H. et al. Single-incision laparoscopy-assisted surgery for bowel obstruction: Report of three cases. Surg Today 41, 1519–1523 (2011). https://doi.org/10.1007/s00595-010-4525-4
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DOI: https://doi.org/10.1007/s00595-010-4525-4