Single-incision laparoscopy-assisted surgery for bowel obstruction: Report of three cases

Takao Ohtsuka, Eishi Nagai, Hiroki Toma, Kenoki Ohuchida, Hideki Takanami, Seiichi Odate, Daiki Eguchi, Takashi Ueki, Shuji Shimizu, Masao Tanaka

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4 Citations (Scopus)

Abstract

We applied single-incision laparoscopy-assisted surgery for several different types of bowel obstruction in selected patients. Before the operation, a long nasal tube was inserted for intestinal decompression and assessment of a stenotic lesion. A specially-designed instrument for single-incision laparoscopic surgery, the SILS Port, was introduced at the umbilicus or proposed ileostomy site. After intracorporeal procedures, extracorporeal resection and reconstruction of the intestine was performed as needed. Three patients with bowel obstruction due to jejunal carcinoma, colonic stenosis, and adhesion underwent single-incision laparoscopy-assisted surgery. The port site was used for subsequent extracorporeal resection and anastomosis of the jejunum in two patients, and for ileostomy in the remaining patient. All of the procedures were completed safely, and there were no postoperative complications. Singleincision laparoscopy can therefore be applied for selected patients with bowel obstruction. In such cases, the preoperative insertion of a long nasal tube for decompression of intestinal contents and assessment of the stenotic lesion is necessary.

Original languageEnglish
Pages (from-to)1519-1523
Number of pages5
JournalSurgery today
Volume41
Issue number11
DOIs
Publication statusPublished - Nov 1 2011

All Science Journal Classification (ASJC) codes

  • Surgery

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    Ohtsuka, T., Nagai, E., Toma, H., Ohuchida, K., Takanami, H., Odate, S., Eguchi, D., Ueki, T., Shimizu, S., & Tanaka, M. (2011). Single-incision laparoscopy-assisted surgery for bowel obstruction: Report of three cases. Surgery today, 41(11), 1519-1523. https://doi.org/10.1007/s00595-010-4525-4