Single-incision laparoscopic total colectomy using an organ retractor: A case report.
Organ retractor
SILS, single-port laparoscopic surgery
Single-incision laparoscopic surgery
Total colectomy
Journal
Annals of medicine and surgery (2012)
ISSN: 2049-0801
Titre abrégé: Ann Med Surg (Lond)
Pays: England
ID NLM: 101616869
Informations de publication
Date de publication:
Jul 2020
Jul 2020
Historique:
received:
07
03
2020
revised:
22
04
2020
accepted:
27
04
2020
entrez:
2
6
2020
pubmed:
2
6
2020
medline:
2
6
2020
Statut:
epublish
Résumé
Single-incision laparoscopic surgery (SILS) has benefits, including less postoperative pain, a shorter incision, and improved cosmesis. However, SILS is technically difficult because of the limited movement. An organ retractor is an instrument that has the potential to overcome these limitations. An 85-year-old woman with hematochezia was referred to our hospital. Emergency endoscopy showed diverticulosis of the entire colon and active bleeding from the ascending colon. Despite endoscopic clipping, the bleeding continued. SILS total colectomy using an organ retractor was performed due to uncontrollable diverticular bleeding. A 3-cm incision was placed in the umbilicus, and three conventional ports were inserted into the single umbilical incision. An organ retractor was used for hepatocolic ligament transection, transection of the ileocolic vessels, and transection of the mesentery of the sigmoid colon. For each transection, the tension was adjusted to provide a good operative view. The patient's postoperative course was uneventful. An organ retractor was effective for SILS total colectomy to maintain an adequate operative view, which enabled safe dissection.
Identifiants
pubmed: 32477505
doi: 10.1016/j.amsu.2020.04.032
pii: S2049-0801(20)30074-1
pmc: PMC7248583
doi:
Types de publication
Case Reports
Langues
eng
Pagination
101-105Informations de copyright
© 2020 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.
Déclaration de conflit d'intérêts
None.
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