Single-Access Laparoscopic Surgery for Ileal Disease. (5th March 2012)

• Record Type: Journal Article
• Authors: Moftah, Mohamed; Burke, John; Narendra, Aaditya; Cahill, Ronan A.
• Other Names: Boni Luigi Academic Editor.
• Is Part Of: Minimally invasive surgery. Volume 2012(2012)
• Publication Date: 2012-03-05
• Subjects: Endoscopic surgery -- Periodicals; 617.05705
• DOI: 10.1155/2012/697142
• Languages: English
• ISSNs: 2090-1445

Abstract

Abstract : Aim . Single-access laparoscopic surgery (SALS) can be effective for benign and malignant diseases of the ileum in both the elective and urgent setting. Methods . Ten consecutive, nonselected patients with ileal disease requiring surgery over a twelve month period were included. All had a preoperative abdominopelvic computerized tomogram. Peritoneal access was achieved via a single transumbilical incision and a "surgical glove port" utilized as our preferred access device. With the pneumoperitoneum established, the relevant ileal loop was located using standard rigid instruments. For ileal resection, anastomosis, or enterotomy, the site of pathology was delivered and addressed extracorporeally. Result . The median (range) age of the patients was 42.5 (22–78) years, and the median body mass index was 22 (20.2–28) kg/m 2 . Procedures included tru-cut biopsy of an ileal mesenteric mass, loop ileostomy and ileotomy for impacted gallstone extraction as well as ileal (n = 3 ) and ileocaecal resection (n = 4 ). Mean (range) incision length was 2.5 (2–5) cm. All convalescences were uncomplicated. Conclusions . These preliminary results show that SALS is an efficient and safe modality for the surgical management of ileal disease with all the advantages of minimal access surgery and without requiring a significant increase in theatre resource or cost or incurring extra patient morbidity.