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Port Surgery for Colorectal Cancer Patients, Involving the Use of A Single- Incision Laparoscopic Surgery Port at the Planned Stoma Site
Masayasu Hara*, Satoru Takayama, Mikinori Sato, Hiroki Takahashi, Takaya Nagasaki, Kazuyosi Shiga and Hiromitsu Takeyama
Department of Gastroenterological Surgery, Nagoya City University, Nagoya, Japan
- Corresponding Author:
- Masayasu Hara
Department of Gastroenterological Surgery
Nagoya City University, 1 Kawasumi, Mizuho-cho
Mizuho-ku, Nagoya 467-8601, Japan
Tel: +81-52-853-8226
Fax: +81-52-842-3906
E-mail: mshara@med.nagoya-cu.ac.jp
Received Date: July 04, 2014; Accepted Date: July 29, 2014; Published Date: August 04, 2014
Citation: Hara M, Takayama S, Sato M, Takahashi H, Nagasaki T, et al. (2014) Port Surgery for Colorectal Cancer Patients, Involving the Use of A Single-Incision Laparoscopic Surgery Port at the Planned Stoma Site. J Gastroint Dig Syst 4:206. doi:10.4172/2161-069X.1000206
Copyright: © 2014 Hara M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
A single-incision laparoscopic surgery (SILS) port may be used to reduce the number of surgical incisions. Here, we describe our technique, equivalent in technical difficulty to conventional laparoscopy, of using a SILS port at a planned diverting-stoma site in colorectal cancer patients. This technique is indicated for patients for whom the intent is to perform tumor resection with diverting ileostomy. Because ileostomy is usually created on the right, this technique is most useful for left-sided lesions. However, an additional port in the umbilicus enables dissection of the right colon. The SILS port is placed by the open method, with additional trocars added once pneumoperitoneum is established. One trocar port is eventually used for a drain. We use this technique not only for intersphincteric resection, wherein distal rectal stump stapling is not necessary, but also in total coloproctectomy and ultralow anterior resection, which require deep pelvis stapling or right-sided colonic dissection.
