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DYNAMIC ARTICLE Single-Access Laparoscopic Left and Right Hemicolectomy Combined With Extracorporeal Magnetic Retraction 1 1 1 Dai Uematsu, M.D. Gaku Akiyama, M.D. Akiko Magishi, M.D. 1 2 Jiro Nakamura, M.D. Kinichi Hotta, M.D. 1 Department of Digestive Surgery, Saku Central Hospital, Saku-City, Nagano, Japan 2 Department of GI Endoscopy, Saku Central Hospital, Saku-City, Nagano, Japan PURPOSE: In single-access laparoscopic colectomy, the second port. The median total surgical time was 255 number of forceps inserted through the umbilical (range, 220–315) minutes. Surgical blood loss was slight incision is limited. To compensate for the single-access (range, 1–20 mL) in all patients. No postoperative site, triangulation must be lost or instrument collision complications occurred. The postoperative hospital stay must be sustained. Extracorporeal magnetic retraction was 7 days for each patient. can overcome this problem. This report describes the use CONCLUSIONS: This procedure can be safely and feasibly of this new procedure for colon cancer resection. performed using extracorporeal magnetic retraction. METHODS: All patients had advanced cancer of the descending or the ascending colon. Single access to the abdomen was achieved with a 3.0- to 4.0-cm umbilical KEY WORDS: Colectomy; Laparoscopy; Magnet; incision. Short vascular forceps and 2 rolls of
Diseases of the Colon & Rectum – Wolters Kluwer Health
Published: Jun 1, 2010
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