ArticleTechniques in coloproctology2011
Single-incision laparoscopic colectomy: a novel approach through a Pfannenstiel incision.
Article in Techniques in coloproctology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Clinical and oncological outcomes of single-incision vs. conventional laparoscopic surgery for rectal cancer.Surgical endoscopy · 2020Article
- Suprapubic single-port approach for complicated diverticulitis.Techniques in coloproctology · 2018Article
- Single-incision laparoscopic ileocecal resection using an organ retractor.International journal of surgery case reports · 2017Article
- Review of 500 single incision laparoscopic colorectal surgery cases - Lessons learned.World journal of gastroenterology · 2016Review
- Review of single incision laparoscopic surgery in colorectal surgery.World journal of gastroenterology · 2015Review
- SILS v SILS+1: a Case-Matched Comparison for Colorectal Surgery.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2015Article
- Single port laparoscopy in gastroenterology and hepatology: a fine step forward.World journal of gastroenterology · 2014Review
- Umbilical incision laparoscopic colectomy with one additional port for colorectal cancer.Techniques in coloproctology · 2013Article
- Minimally invasive surgery for diverticulitis.Techniques in coloproctology · 2013Review
- Transanal endoscopic video-assisted (TEVA) excision.Surgical endoscopy · 2012Article
- Outcomes for consecutive patients undergoing single-site laparoscopic colorectal surgery.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2012Article
- Use of a Pfannenstiel incision in minimally invasive colorectal cancer surgery is associated with a lower risk of wound complications.Techniques in coloproctology · 2012Article
- Single-incision versus conventional laparoscopic sigmoid colectomy: a case-matched series.Surgical endoscopy · 2012Article
- Single incision laparoscopic colorectal surgery: a single surgeon experience of 102 consecutive cases.Techniques in coloproctology · 2011Article
- Technique for constructing an incisionless laparoscopic stoma.Techniques in coloproctology · 2011Article
- A simple and safe technique for performing single-port laparoscopic resection of appendiceal mucocele.Techniques in coloproctology · 2011Article
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Authors and funding
4 authors.
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Abstract
backgroundSingle-incision laparoscopic colectomy is evolving as a safe and feasible approach for the management of various diseases of the colon and rectum. The modality affords completion of "scarless" surgery through a transumbilical incision; however, this approach is associated with several limitations when performing colorectal procedures involving the pelvis. Collinear alignment of the camera and instruments through a single umbilical incision results in restricted visualization, inadequate dissection and mobilization, and the potential for inadvertent injury. We have developed an innovative approach utilizing a Pfannenstiel incision for single-incision access to the pelvis.
methodsSingle-incision laparoscopic colon resection was performed using a single-access device placed through a mini-Pfannenstiel incision.
resultsThree consecutive patients underwent single-incision laparoscopic anterior rectosigmoid resection for recurrent diverticulitis through a 4-cm Pfannenstiel incision. The procedures were performed at 150, 180, and 195 min with an estimated blood loss of 50, 150, and 75 mL, respectively. The resected specimen lengths were 10.5, 20.2, and 15.0 cm, respectively. There were no conversions to multi-port laparoscopic or open surgery. The length of hospital stay was 4 days for patients 1 and 2, and 3 days for patient 3. There were no major complications or readmissions during postoperative follow-up.
conclusionSingle-incision laparoscopic anterior rectosigmoid resection for diverticulitis can be performed successfully through a Pfannenstiel incision. This approach facilitates direct visualization and access for rectal and pelvic dissection while maintaining adequate exposure to the left colon and splenic flexure during the procedure.
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