Single-incision total abdominal colectomy

Abstract

A total abdominal colectomy is performed for a wide variety of indications, including malignant disease, precancerous lesions, inherited genetic conditions, colonic dysmotility, and inflammatory bowel disease. The dissection, resection, and method of vascular ligation are standardized, but the indication for operation and patient preferences will determine if an anastomosis or an end ileostomy is performed. In all cases, a minimally invasive approach is safe, is feasible, and accelerates recovery. In our experience, the total abdominal colectomy is the ideal procedure for a single-incision laparoscopic approach in patients receiving a stoma, as this leads to “incisionless” surgery, improving cosmesis, postoperative pain, and reducing port-site complications.