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Single-port laparoscopic reversal of Hartmann's procedure via the colostomy site
Byung Jo Choi1, Won Jun Jeong1, Young Kyun Kim2
1Department of Surgery, Daejeon St. Mary's Hospital, The Catholic University of Korea, Daejeon, Republic of Korea.
Background:
The aim of this study was to report our initial experience with single-port laparoscopic reversal of Hartmann's procedure (SP-LHR).
Methods:
Between December 2009 and March 2014, 23 patients underwent single-port laparoscopic reversal of Hartmann's procedure. Single-port laparoscopic surgeries (SPLS) were performed through the preexisting stoma site. A commercially available single port with one 5 mm and two 12 mm trocars was used with conventional straight and rigid laparoscopic instruments. Patient demographics and operative and postoperative outcomes were analyzed.
Results:
SP-LHR was successful in 22 patients. No additional incisions for trocars or conversions to open surgery were necessary. In 1 patient, the procedure was aborted. The median operative time and postoperative length of stay were 165 min (range, 100-340 min) and 8 days (range, 4-31 days), respectively. The median time to the resumption of oral intake was 3 days (range, 1-16 days). No intraoperative complications were noted; there were four postoperative complications including one anastomotic leak.
Conclusions:
In our experience, SP-LHR via the colostomy site was safe and feasible, and may be considered an additional surgical option for experienced SPLS surgeons in selected patients.
