Single-incision laparoscopic surgery for small bowel diseases

Kenji Baba, MD, Shinichiro Mori, MD, Shigehiro Yanagita, Kosei Maemura, Hiroshi Okumura, Tetsuhiro Nakojo, MD, Shoji Natsugoe, MD

Department of Digestive Surgery, Breast and Thyroid Surgery Graduate School of Medical and Dental Sciences, Japan

OBJECTIVE: Single-incision laparoscopic surgery (SILS) has become an evolving trend over the past few years. In this study, we aimed to describe a novel technique and our experience with 7 patients who underwent SILS for small bowel disease.

METHODS: This study was designed as a retrospective case series. Between September 2009 and August 2012, seven consecutive patients who received SILS were included (2 male and 5 female, age: 45.7±24.1 years old). We performed operations using access port methods through an umbilical skin incision. The outcomes were evaluated in terms of operation time, intraoperative blood loss, length of hospital stay after operation, and surgical complications.

RESULTS: Five patients who had Meckel’s diverticulum, one patient who had intussusception due to lipoma and one patient who had polyp with Peutz-Jeghers symdrome were performed SILS. Median surgery time was 90 minutes, and median intraoperative blood loss was 5mL. Median length of post operative hospitalization was 7 days. There were no complications and mortality in relation to the operation.

CONCLUSION: Our experience indicates that single-incision laparoscopic surgery is a safe and feasible procedure for patients with small bowel disease.

Session: Poster Presentation

Program Number: P515

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