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Laparoscopic single-port colectomy for sigmoid cancer

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Abstract

Background

Single-port laparoscopic surgery can be performed via one incision hidden in the umbilicus. Herein, we report a patient with a sigmoid colon cancer undergoing single-port laparoscopic sigmoid colectomy.

Methods

Laparoscopic single-port sigmoid colectomy through a 3-cm umbilical incision was performed on a patient with a diagnosis of sigmoid cancer. Patient was 54-year-old female with a body mass index of 25.8 kg/m2. Preoperatively, a CAT scan in the metastasis evaluation did not show any lesion.

Results

The total operative time was 198 min. Estimated blood loss was 300 ml. Length of hospital stay was 3 days. Patient had no intraoperative or postoperative complications. Examination of pathological specimen showed a specimen containing a circumferential lesion measuring 5 cm × 2.5 cm × 2.5 cm with adequate surgical margins (10 and 5.5 cm), and no regional lymph node metastases in 14 lymph nodes collected. Patient did not receive adjuvant chemotherapy after surgery. Colonoscopy performed 1 year after surgery showed no neoplasm or polyp identified. Abdomen and pelvis CT also found no evidence of recurrence or metastatic disease.

Conclusion

Single-port laparoscopic surgery may allow common benign procedures via an incision in the umbilicus. It can also be performed with good surgical and oncologic results in selected patients with a colorectal cancer.

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Authors and Affiliations

  1. Department of Colorectal Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA

    F. H. Remzi, H. T. Kirat & D. P. Geisler

Authors
  1. F. H. Remzi
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  2. H. T. Kirat
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  3. D. P. Geisler
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Corresponding author

Correspondence to F. H. Remzi.

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Remzi, F.H., Kirat, H.T. & Geisler, D.P. Laparoscopic single-port colectomy for sigmoid cancer. Tech Coloproctol 14, 253–255 (2010). https://doi.org/10.1007/s10151-009-0545-8

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  • DOI: https://doi.org/10.1007/s10151-009-0545-8

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