Single Incision Laparoscopic Right Hemicolectomy Using Standard Laparoscopic Instruments

INTRODUCTION: Single port laparoscopic approaches for colon resection confer potential benefits with regard to cosmesis and surgical site pain. One drawback is the potential need for costly proprietary instrumentation with many single port access systems. This video demonstrates a single port right hemicolectomy using standard laparoscopic equipment.

METHODS AND PROCEDURES: With the patient in supine position a single transabdominal port was placed using the open technique in the supraumbilical position. Standard laparoscopic instrumentation and optics were then used to perform a medial to lateral mobilization of the right colon with high ligation of the ileocolic vascular pedicle. Extracorporeal division of the transverse colon and ileum followed by stapled ileocolic anastamosis was performed.

RESULTS: Negative oncologic margins were achieved in addition to adequate mesenteric lymphadenectomy. The patient was left with a 3.5 cm supraumbilical incision. There were no postoperative complications.

CONCLUSIONS: A single port approach to right hemicolectomy can be performed with adequate oncologic and morbidity parameters using standard laparoscopic instrumentation.

Session: Video Channel

Program Number: V064

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