Laparoscopic single-port colectomy for sigmoid cancer

Area of Science:

• Minimally Invasive Surgery
• Surgical Oncology
• Colorectal Surgery

Background:

• Single-port laparoscopic surgery (SILS) offers a less invasive approach through a single umbilical incision.
• This case report details a patient diagnosed with sigmoid colon cancer.
• The study evaluates the feasibility and outcomes of SILS for sigmoid colectomy.

Observation:

• A 54-year-old female with sigmoid cancer underwent a laparoscopic single-port sigmoid colectomy.
• The procedure was completed through a 3-cm umbilical incision with no preoperative metastatic lesions identified.
• Operative time was 198 minutes with an estimated blood loss of 300 ml.

Findings:

• The patient experienced a short hospital stay of 3 days with no intraoperative or postoperative complications.
• Pathological examination revealed a 5 cm lesion with adequate margins and no lymph node metastasis.
• One-year follow-up showed no evidence of recurrence or metastatic disease on imaging and colonoscopy.

Implications:

• Single-port laparoscopic surgery demonstrates potential for treating colorectal cancer with favorable oncological results.
• This technique may be suitable for selected patients, offering cosmetic benefits and potentially faster recovery.
• Further research can explore the broader application of SILS in oncologic resections.