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  • Title: Single incision laparoscopic total colectomy and proctocolectomy for benign disease: initial experience.
    Author: Leblanc F, Makhija R, Champagne BJ, Delaney CP.
    Journal: Colorectal Dis; 2011 Nov; 13(11):1290-3. PubMed ID: 20955513.
    Abstract:
    AIM: This paper presents our initial experience of single incision laparoscopic total colectomy and proctocolectomy. METHOD: Four female patients (mean age 35.5 years; mean body mass index 24.7 kg/m(2) ) underwent total colectomy with end ileostomy (n = 2) and proctocolectomy with stapled ileum pouch-anal (n = 1) and rectal (n = 1) anastomosis with loop ileostomy, for benign disease, using a single-incision laparoscopic approach. The single port was placed at the umbilicus or the ileostomy site. Specimen extraction was through the port site. RESULTS: Operative procedures were performed with a mean operative time of 212 min, mean blood loss of 30 ml and no intraoperative complication. No additional abdominal ports were required. A postoperative ileus (n = 1) on day three resolved spontaneously and the. mean hospital stay was 4.5 days. CONCLUSION: Single-incision laparoscopic total colectomy or proctocolectomy is feasible for benign disease in selected patients.
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