PMID- 20305452
OWN - NLM
STAT- MEDLINE
DCOM- 20100507
LR  - 20100322
IS  - 1530-0358 (Electronic)
IS  - 0012-3706 (Linking)
VI  - 53
IP  - 4
DP  - 2010 Apr
TI  - Single-access laparoscopic colectomy with a novel multiport device in sigmoid 
      colectomy for colon cancer.
PG  - 496-501
LID - 10.1007/DCR.0b013e3181ce677a [doi]
AB  - PURPOSE: Laparoscopic-assisted colectomy is a common procedure for colorectal 
      disease, and laparoscopic colectomy from a single access point is rapidly 
      evolving. This report describes the use of single-access laparoscopic colectomy 
      (SALC) with a novel multiport device in sigmoidectomy for colon cancer. METHODS: 
      Data were collected retrospectively on 5 patients who underwent the procedure for 
      colon cancers in the period from November 2008 through January 2009. The abdomen 
      was approached through a 3- to 4-cm incision via the umbilicus in every case. To 
      ensure maintenance of the pneumoperitoneum, the procedure was performed with a 
      specially developed multiport device enveloped by a glove containing 3 5-mm 
      ports. In all 5 patients, the root of the inferior mesenteric artery was isolated 
      and divided at the distal side where the left colic artery branched off. RESULTS: 
      The median total surgical time was 185 (range, 176-210) minutes. In all patients, 
      surgical blood loss was slight (range, 0-20 mL). Only one patient required 
      conversion into laparoscopic-assisted colectomy by the addition of 2 ports, 
      because the location adjacent to the descending colon made it necessary to 
      mobilize the splenic flexure. The median number of harvested lymph nodes was 17 
      (range, 12-24). No postoperative complications occurred. The postoperative 
      hospital stay was 7 days for every patient. CONCLUSIONS: Single-access 
      laparoscopic sigmoidectomy seems to be feasible and safe when performed by 
      experienced laparoscopic surgeons who are familiar with the unique principles of 
      this procedure. Additional experience and continued investigations are warranted.
FAU - Uematsu, Dai
AU  - Uematsu D
AD  - Department of Digestive Surgery, Saku Central Hospital, Nagano, Japan. 
      goronta.du1110@hotmail.co.jp
FAU - Akiyama, Gaku
AU  - Akiyama G
FAU - Matsuura, Masato
AU  - Matsuura M
FAU - Hotta, Kinichi
AU  - Hotta K
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Dis Colon Rectum
JT  - Diseases of the colon and rectum
JID - 0372764
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Colectomy/instrumentation/*methods
MH  - Colonic Neoplasms/*surgery
MH  - Female
MH  - Humans
MH  - Laparoscopy/*methods
MH  - Male
MH  - Middle Aged
MH  - Pneumoperitoneum, Artificial
MH  - Retrospective Studies
MH  - Sigmoid Diseases/*surgery
MH  - Treatment Outcome
EDAT- 2010/03/23 06:00
MHDA- 2010/05/08 06:00
CRDT- 2010/03/23 06:00
PHST- 2010/03/23 06:00 [entrez]
PHST- 2010/03/23 06:00 [pubmed]
PHST- 2010/05/08 06:00 [medline]
AID - 00003453-201004000-00019 [pii]
AID - 10.1007/DCR.0b013e3181ce677a [doi]
PST - ppublish
SO  - Dis Colon Rectum. 2010 Apr;53(4):496-501. doi: 10.1007/DCR.0b013e3181ce677a.