Single-incision laparoscopic ileocecal resection using an organ retractor

Area of Science:

• Surgical Innovation
• Minimally Invasive Surgery
• Gastrointestinal Oncology

Background:

• Single-incision laparoscopic surgery (SILS) is a safe and feasible approach for colorectal cancer.
• SILS presents technical challenges due to device limitations.
• An organ retractor is a novel grasping device designed to address these limitations.

Purpose of the Study:

• To evaluate the efficacy of an organ retractor in single-incision laparoscopic surgery for colorectal cancer.
• To assess the impact of the organ retractor on operative view and dissection safety.

Main Methods:

• A case study involving a 63-year-old female with a right lower quadrant tumor.
• Diagnosis of well-differentiated adenocarcinoma via colonoscopy and biopsy.
• Performance of single-incision laparoscopic surgery ileocecal resection using an organ retractor, with adjustable trailer line tension for dissection.

Main Results:

• The organ retractor facilitated hepatocolic ligament resection, ileocolic vessel resection, and mesenteric insertion resection.
• Adjustable trailer line tension provided an optimal operative view during critical dissection steps.
• The patient experienced a favorable postoperative course and was discharged within 7 days.

Conclusions:

• The organ retractor proved effective in SILS for colorectal cancer, maintaining a good operative view.
• The device's ability to adjust trailer line tension contributed to safe and effective dissection.
• Organ retractors show potential to facilitate SILS procedures, enhancing surgical outcomes.