ArticleInternational journal of surgery case reports2026
Reduced-port robotic partial hepatectomy using a simultaneous colostomy-closure site via a glove-port: a case report.
Article in International journal of surgery case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: In patients with prior colorectal cancer, subsequent liver resection adds surgical trauma. We present a reduced-port robotic liver resection that reused the simultaneous colostomy closure site as a glove-port to minimize new incisions. Case presentation: An 81-year-old woman had a 12-mm indeterminate lesion in liver segment 5 on surveillance computed tomography, 10 months after semi-emergency laparoscopic sigmoidectomy with a diverting colostomy for obstructing sigmoid colon cancer. The lesion was atypical for metastasis on positron emission tomography and gadoxetic acid-enhanced MRI, but could not be excluded as a metachronous metastasis, so simultaneous colostomy closure and robotic partial hepatectomy were performed. After bowel closure, a glove-port - a Small Alexis (R) wound retractor with a surgical glove - was placed at the stoma site and accommodated an 8-mm robotic trocar and a 12-mm assistant trocar through a single incision; three additional 8-mm robotic trocars and a Pringle tourniquet were inserted. The tumor was resected using a double bipolar technique and retrieved through the stoma site with the retractor left in place, without a retrieval bag. Histology revealed a benign focal nodular hyperplasia-like lesion; recovery was uneventful without surgical site infection. Discussion: Reusing a stoma site as a glove-port reduces skin incisions and avoids a separate extraction incision; the dual-ring wound retractor and a purse-string closure mitigate the infection risk associated with simultaneous stoma closure. Conclusion: The glove-port technique using a stoma closure site is a feasible, minimally invasive option for selected patients with existing stomas, achieving an uneventful recovery without surgical site infection in this case.
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