Faculty Collaboration Database

Single-incision laparoscopic surgery through an ostomy site: a natural approach by an unnatural orifice. Surg Laparosc Endosc Percutan Tech 2015 Feb;25(1):74-78

Date

04/20/2014

Pubmed ID

24743670

DOI

10.1097/SLE.0000000000000022

Scopus ID

2-s2.0-84923647130 (requires institutional sign-in at Scopus site)   4 Citations

Abstract

Single-incision laparoscopic surgery (SILS) is gaining popularity for a wide variety of surgical operations and capitalizes on the benefits of traditional laparoscopic surgery without incurring multiple incision sites. Traditionally, SILS is performed by a midline periumbilical approach. However, such a minimally invasive approach may be utilized in patients who already have an abdominal incision. Our series retrospectively reviews 7 cases in which we utilized the fascial defect at the time of after ostomy reversal as our SILS incision site. In turn, we performed a variety of concurrent intra-abdominal procedures with excellent technical success and outcomes. Our study is the largest single-institution case series of this novel approach and suggests that utilizing an existing ostomy-site abdominal incision is a safe and effective location for SILS port placement and should be considered in patients undergoing concurrent procedures.

Author List

Lopez NE, Peterson CY, Ramamoorthy SL, McLemore EC, Sedrak MF, Lowy AM, Horgan S, Talamini MA, Sicklick JK

Author

Carrie Peterson MD, MS, FACS, FASCRS Associate Professor in the Surgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adult
Colectomy
Colonic Neoplasms
Female
Humans
Inflammatory Bowel Diseases
Laparoscopy
Length of Stay
Male
Middle Aged
Natural Orifice Endoscopic Surgery
Operative Time
Ostomy
Pancreatic Neoplasms
Retrospective Studies