Single-port laparoscopic total colectomy for medically uncontrolled colitis.

Area of Science:

• Minimally Invasive Surgery
• Gastrointestinal Surgery
• Laparoscopic Techniques

Background:

• New multi-instrument ports facilitate single-access laparoscopic surgery.
• Single-access surgery offers potential for reduced invasiveness in abdominal procedures.

Purpose of the Study:

• To detail the safe execution of laparoscopic total colectomy using a single-port approach.
• To evaluate the feasibility of single-port surgery for major colonic resections.

Main Methods:

• Three patients with medically resistant colitis underwent single-port laparoscopic total colectomy with end ileostomy.
• The procedure involved rectosigmoid transection, proximal colon dissection, and ileostomy creation through the single port site.

Main Results:

• The surgery was completed successfully in all patients without additional incisions.
• Mean operative time was 206 minutes; patients showed normal stoma function at follow-up.

Conclusions:

• Single-port laparoscopic total colectomy is a safe technique with careful patient selection and surgical planning.
• Further research on clinical benefits and instrumentation refinement is needed for widespread adoption.