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Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

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Published on: March 24, 2023

Single-access laparoscopic surgery for ileal disease.

Mohamed Moftah¹, John Burke, Aaditya Narendra

¹Department of Colorectal Surgery, Beaumont Hospital, Beaumont Road, Dublin 9, Ireland.

Minimally Invasive Surgery

|April 25, 2012

Summary

Single-access laparoscopic surgery (SALS) offers an effective and safe approach for ileal diseases. This minimal access technique provides benefits without increased costs or patient morbidity.

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Area of Science:

Gastrointestinal Surgery
Minimally Invasive Surgery
Laparoscopic Techniques

Background:

Ileal diseases necessitate surgical intervention, encompassing both benign and malignant conditions.
Traditional open surgery for ileal pathology can involve significant morbidity.
Minimally invasive approaches are increasingly explored for abdominal surgeries.

Purpose of the Study:

To evaluate the efficacy and safety of single-access laparoscopic surgery (SALS) for managing ileal diseases.
To assess the feasibility of SALS in both elective and urgent surgical settings for ileal conditions.
To determine if SALS offers advantages over conventional methods for ileal surgery.

Main Methods:

A prospective study included ten consecutive patients with ileal disease requiring surgery.
Preoperative abdominopelvic computerized tomograms were performed for all patients.
Peritoneal access was achieved through a single transumbilical incision using a "surgical glove port" for extracorporeal management of pathology.

Main Results:

Procedures included ileal biopsies, ileostomies, ileotomies for gallstone extraction, and ileal/ileocaecal resections.
The mean incision length was 2.5 cm.
All patients experienced uncomplicated convalescence with no increase in morbidity.

Conclusions:

Single-access laparoscopic surgery (SALS) is an efficient and safe method for surgical management of ileal diseases.
SALS provides the benefits of minimal access surgery.
This approach does not significantly increase theatre resource requirements, costs, or patient morbidity.