RT Journal
A1 Chow AY, Purkayastha S, Zacharakis E, Paraskeva P
T1 SIngle-incision laparoscopic surgery for right hemicolectomy
JF Archives of Surgery
JO Archives of Surgery
YR 2011
FD February 1
VO 146
IS 2
SP 183
OP 186
DO 10.1001/archsurg.2010.336
UL http://dx.doi.org/10.1001/archsurg.2010.336
AB Hypothesis 
    Single-incision laparoscopic surgery (SILS) allows surgeons to perform laparoscopic procedures through a single umbilical incision, minimizing surgical trauma.Design 
    We describe herein our methods of SILS right hemicolectomy using a recent case as an example.Setting 
    SILS appendectomy and cholecystectomy have been performed by our surgical team for longer than 1 year among more than 80 patients.Patient 
    SILS right hemicolectomy was performed in a 38-year-old woman with a history of B-cell lymphoma and ileocecal mass.Interventions 
    The operation was performed using a SILS port and an extracorporeal stapled anastomosis.Main Outcome Measures 
    Length of stay and postoperative pain and complications.Results 
    SILS right hemicolectomy took 175 minutes to perform. The patient was discharged on postoperative day 6; a chest infection after surgery had prolonged the length of stay.Conclusions 
    SILS is an attractive method to further minimize surgical trauma and can be applied in more complex cases, such as colectomy. Large trials are needed to determine the benefits of this new technique.