Single port laparoscopic right hemicolectomy for ileocolic intussusception

Area of Science:

• Gastroenterology
• Minimally Invasive Surgery
• Surgical Oncology

Background:

• Intussusception in adults is rare and often associated with a lead point, such as a tumor.
• Diagnostic challenges exist for adult intussusception, with imaging sometimes inconclusive.
• Surgical intervention is typically required for adult intussusception.

Observation:

• A 36-year-old male presented with chronic right lower abdominal pain and diarrhea.
• Preoperative imaging suggested a cecal submucosal tumor or ileal lipoma.
• Intraoperative findings revealed ileocolic intussusception, with the lipoma identified as the lead point.

Findings:

• Single-port laparoscopic radical right hemicolectomy was successfully performed.
• Histological examination confirmed the resected tumor was a lipoma.
• This represents the first reported case of ileocolic intussusception treated with single-port laparoscopic surgery.

Implications:

• Single-port laparoscopic surgery is a safe and feasible option for treating adult intussusception.
• This technique offers potential advantages over conventional laparoscopy, including smaller incisions and fewer complications.
• Further research is warranted to explore the full potential and overcome limitations of single-port surgery in this context.