Single-Incision Laparoscopic Completion Proctectomy and Ileal J-Pouch-Anal Anastomosis in An 18 Year-Old Male with Ulcerative Colitis Refractory to Medical Therapy
Alexandre Bouchard*, Tonia M. Young-Fadok
Mayo Clinic-Arizona, Phoenix, AZ
Laparoscopic-assisted completion proctectomy and ileal pouch-anal anastomosis (IPAA) is usually performed with multiple ports and an extraction incision. To further reduce the number of incisions and abdominal wall trauma, we used a single-incision (SI) device to introduce 2 instruments and the laparoscope through the same small abdominal opening.The patient underwent a previous SI laparoscopic total colectomy through the ileostomy site. For the second stage, we introduced the SI device in the same site. At the end of the procedure, the only incision on the patient’s abdomen was that used for the diverting loop ileostomy. A SI proctectomy and IPAA is feasible, and can be performed safely.
Back to Program
