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Single-Incision Laparoscopic Right Hemicolectomy for a Colon Mass

Single-Incision Laparoscopic Right Hemicolectomy for a Colon Mass TECHNICAL NOTES Single-Incision Laparoscopic Right Hemicolectomy for a Colon Mass Aziz M. Merchant, M.D. & Edward Lin, D.O. Emory University Department of Surgery, Emory Endosurgery Unit, Atlanta, Georgia PURPOSE: Single-incision laparoscopy is being performed and several instruments parallel to each other results in for a wide variety of procedures. We describe our decreased range of motion and ‘‘clashing’’ of instruments. technique of single-incision laparoscopic right This decreased freedom of motion increases the technical hemicolectomy for a colon mass. complexity of the operation and results in a significant learning curve for performing SILS. Critics also cite the METHODS: The dissection was performed in a need for new and specialized instrumentation, thereby medial-to-lateral fashion with intracorporeal anastomosis. decreasing the cost-effectiveness of the operation. RESULTS: The length of stay was three days, and there We have previously described our technique for per- were no postoperative complications. forming a complete, oncologic single-incision laparoscopic right hemicolectomy (SILS colectomy) using a single- CONCLUSIONS: Single-incision laparoscopic colectomy incision (skin and fascia) GelPort (Applied Medical, Rancho with an intracorporeal anastomosis can provide Santa Margarita, CA) access technique. We believe our satisfactory oncologic resection. single-incision access technique using the GelPort helps maintain the freedom of movement of instruments http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Diseases of the Colon & Rectum Wolters Kluwer Health

Single-Incision Laparoscopic Right Hemicolectomy for a Colon Mass

Lin, Edward
Diseases of the Colon & Rectum , Volume 52 (5) – May 1, 2009
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ISSN
0012-3706
eISSN
1530-0358
DOI
10.1007/DCR.0b013e3181a4fabe
pmid
19502875
Publisher site
See Article on Publisher Site

Abstract

TECHNICAL NOTES Single-Incision Laparoscopic Right Hemicolectomy for a Colon Mass Aziz M. Merchant, M.D. & Edward Lin, D.O. Emory University Department of Surgery, Emory Endosurgery Unit, Atlanta, Georgia PURPOSE: Single-incision laparoscopy is being performed and several instruments parallel to each other results in for a wide variety of procedures. We describe our decreased range of motion and ‘‘clashing’’ of instruments. technique of single-incision laparoscopic right This decreased freedom of motion increases the technical hemicolectomy for a colon mass. complexity of the operation and results in a significant learning curve for performing SILS. Critics also cite the METHODS: The dissection was performed in a need for new and specialized instrumentation, thereby medial-to-lateral fashion with intracorporeal anastomosis. decreasing the cost-effectiveness of the operation. RESULTS: The length of stay was three days, and there We have previously described our technique for per- were no postoperative complications. forming a complete, oncologic single-incision laparoscopic right hemicolectomy (SILS colectomy) using a single- CONCLUSIONS: Single-incision laparoscopic colectomy incision (skin and fascia) GelPort (Applied Medical, Rancho with an intracorporeal anastomosis can provide Santa Margarita, CA) access technique. We believe our satisfactory oncologic resection. single-incision access technique using the GelPort helps maintain the freedom of movement of instruments

Journal

Diseases of the Colon & Rectum – Wolters Kluwer Health

Published: May 1, 2009

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