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Single-incision clipless laparoscopic total colectomy.

Hidejiro Kawahara, Kazuhiro Watanabe, Mitsuhiro Tomoda

Hepato-Gastroenterology

|June 6, 2014

Summary

Single incision laparoscopic surgery (SILS) offers a minimally invasive approach for total colectomy. This study demonstrates the feasibility and safety of a novel clipless SILS total colectomy procedure.

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Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection

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Published on: January 9, 2026

Area of Science:

Minimally Invasive Surgery
Gastrointestinal Surgery

Background:

Single Incision Laparoscopic Surgery (SILS) is increasingly utilized for various surgical procedures.
However, reports on SILS for total colectomy remain limited.

Purpose of the Study:

To describe and evaluate a novel, original procedure for single incision, clipless laparoscopic total colectomy.
To assess the feasibility and safety of this technique.

Main Methods:

A 3-cm umbilical incision was used to place a SILS port.
The procedure involved division of the greater omentum, takedown of colon flexures, creation of a mesocolon window, and clipless vessel/mesocolon division using LigaSure.
Ileorectal anastomosis was performed using a double stapling technique.

Main Results:

Eight consecutive patients underwent the procedure between 2010 and 2012.
Mean operative time was 228.1 minutes, with a mean blood loss of 64.0 mL.
Mean postoperative hospitalization was 10.8 days, with no reported complications.

Conclusions:

The described single incision, clipless laparoscopic total colectomy procedure appears to be a feasible and safe surgical option.
This technique may offer advantages in minimally invasive gastrointestinal surgery.