Transumbilical single incision laparoscopic sigmoidectomy for benign disease

Area of Science:

• Surgical Innovation
• Minimally Invasive Surgery
• Laparoscopic Techniques

Background:

• Transumbilical single incision laparoscopic surgery (SILS) represents an advancement in minimally invasive procedures.
• SILS merges cosmetic advantages and reduced trauma with standard laparoscopic instrumentation.
• This report details the first clinical application of transumbilical SILS sigmoidectomy for benign conditions.

Observation:

• A preliminary case involved a 34-year-old female with sigmoid stenosis due to endometriosis.
• Transumbilical SILS sigmoidectomy and endometriosis treatment were performed concurrently.
• Conventional laparoscopic instruments, including straight and articulated types, were utilized.

Findings:

• Transumbilical SILS sigmoidectomy proved feasible using standard laparoscopic tools.
• The procedure avoided the need for transparietal sling sutures for exposition.
• Operative time was 125 minutes with no intra-operative or postoperative complications.
• Excellent cosmetic outcomes and potential for accelerated recovery were noted.

Implications:

• Transumbilical SILS sigmoidectomy is achievable by experienced surgeons with conventional instruments.
• This technique may offer advantages over Natural Orifice Transluminal Endoscopic Surgery (NOTES), providing laparoscopic colectomy safety without vaginal access.
• Further research is needed to ascertain patient benefits beyond cosmetic improvements compared to standard laparoscopic sigmoidectomy.