Single-incision laparoscopic resection of small bowel tumours: Making it easier for patient and surgeon

Terry Nickerson, Johnathon Aho, Juliane Bingener

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: Patients with small bowel tumours frequently require surgical intervention. Minimally invasive techniques require advanced skills and may not be offered to many patients. We present a laparoscopic single-incision technique that is minimally invasive without requiring intracorporeal anastomosis. Materials and Methods: The cases of all patients with laparoscopic small bowel resections performed by one surgeon from 2008 to 2012 were reviewed. A single-port technique was introduced after it became available at our institution in 2009. Before that, conventional laparoscopy (LAP) was performed with extension of the periumbilical incision to allow externalisation of the bowel. Results: Totally, 10 patients were identified who underwent laparoscopic resection of small bowel tumours: 9 in the small bowel and 1 in the terminal ileum near the cecum. Three tumours were resected before 2009 using LAP, and 7 were resected using the single-port technique. Median length of stay was 3 days, median follow-up was 16.5 months, and no patients had a recurrence. Operative time, post-operative complications, hospital length of stay, and narcotic utilisation were similar between the single-port and traditional laparoscopic groups. Conclusion: Laparoscopic removal of small bowel tumours with a small, periumbilical trocar incision is both effective and feasible without advanced technical skill.

Original languageEnglish (US)
Pages (from-to)235-239
Number of pages5
JournalJournal of Minimal Access Surgery
Volume12
Issue number3
DOIs
StatePublished - Jul 1 2016

Fingerprint

Length of Stay
Neoplasms
Laparoscopy
Cecum
Narcotics
Operative Time
Ileum
Surgical Instruments
Surgeons
Recurrence

Keywords

  • Carcinoid
  • gastrointestinal stromal tumour
  • laparoendoscopic single-site surgery
  • single-incision small bowel resection
  • single-incision surgery
  • small bowel tumours

ASJC Scopus subject areas

  • Surgery

Cite this

Single-incision laparoscopic resection of small bowel tumours : Making it easier for patient and surgeon. / Nickerson, Terry; Aho, Johnathon; Bingener, Juliane.

In: Journal of Minimal Access Surgery, Vol. 12, No. 3, 01.07.2016, p. 235-239.

Research output: Contribution to journalArticle

Nickerson, Terry ; Aho, Johnathon ; Bingener, Juliane. / Single-incision laparoscopic resection of small bowel tumours : Making it easier for patient and surgeon. In: Journal of Minimal Access Surgery. 2016 ; Vol. 12, No. 3. pp. 235-239.
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