Single-incision laparoscopic ileorectal anastomosis

Area of Science:

• Colorectal surgery
• Minimally invasive surgery
• Laparoscopic techniques

Background:

• Minimally invasive surgery offers significant patient advantages.
• Single port access for ileorectal anastomosis after stoma reversal has not been previously detailed.

Purpose of the Study:

• To describe a single port access technique for ileorectal anastomosis.
• To evaluate the feasibility of restoring ileorectal continuity via an end ileostomy site.

Main Methods:

• Mobilization of end ileostomy and securing the stapler anvil to the distal ileum.
• Placement of a single port device into the stoma site for laparoscopic surgery.
• Intracorporeal anastomosis construction using the Knight-Griffin technique and leak testing.

Main Results:

• Adhesiolysis and anastomosis can be safely performed using this technique in selected cases.
• The approach allows for peritoneal assessment and potential completion of the procedure.
• Escalation to multiport laparoscopy or laparotomy is possible if the surgical environment is challenging.

Conclusions:

• Single port laparoscopy is a viable option for initiating ileorectal anastomosis.
• This technique offers the most minimally invasive approach, maximizing patient benefit.
• It allows for peritoneal assessment and can lead to successful restoration of bowel continuity.