Single incision laparoscopic total colectomy and proctocolectomy for benign disease: Initial experience

Abstract

Aim This paper presents our initial experience of single incision laparoscopic total colectomy and proctocolectomy. Method Four female patients (mean age 35.5years; mean body mass index 24.7kg/m 2) underwent total colectomy with end ileostomy (n=2) and proctocolectomy with stapled ileum pouch-anal (n=1) and rectal (n=1) anastomosis with loop ileostomy, for benign disease, using a single-incision laparoscopic approach. The single port was placed at the umbilicus or the ileostomy site. Specimen extraction was through the port site. Results Operative procedures were performed with a mean operative time of 212min, mean blood loss of 30ml and no intraoperative complication. No additional abdominal ports were required. A postoperative ileus (n=1) on day three resolved spontaneously and the. mean hospital stay was 4.5days. Conclusion Single-incision laparoscopic total colectomy or proctocolectomy is feasible for benign disease in selected patients. © 2011 The Authors. Colorectal Disease © 2011 The Association of Coloproctology of Great Britain and Ireland.