Single-incision laparoscopic right colectomy for recurrent Crohn's disease

Area of Science:

• Gastroenterology
• Minimally Invasive Surgery

Background:

• Crohn's disease is a chronic inflammatory bowel disease often requiring surgical intervention.
• Recurrent disease after intestinal resection is common, necessitating further treatment.
• Single Incision Laparoscopic Surgery (SILS) offers potential benefits in minimally invasive procedures.

Observation:

• A 36-year-old male with a history of Crohn's disease and partial small intestine resection presented with worsening abdominal pain and appetite loss due to recurrent disease.
• The patient underwent a laparoscopic right colectomy utilizing the SILS technique for the recurrent ileal lesion.

Findings:

• The SILS procedure for recurrent Crohn's disease was completed in 130 minutes with 100 ml of blood loss.
• The patient experienced an uneventful postoperative recovery and was discharged ten days after surgery for further chemotherapy.

Implications:

• This case demonstrates the feasibility and safety of SILS for treating recurrent Crohn's disease in the terminal ileum.
• SILS may represent a viable minimally invasive surgical option for complex gastrointestinal conditions like recurrent Crohn's disease.
• Further research is warranted to evaluate the long-term outcomes and broader applicability of SILS in Crohn's disease management.