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Single-Port Total Abdominal Colectomy for Colon Cancer
Journal article   Open access

Single-Port Total Abdominal Colectomy for Colon Cancer

Maen Aboul Hosn, Faek R Jamali and Ramzi Alami
CRSLS: MIS Case Reports from SLS, Vol.18(4), e2014.00149
11/13/2014
DOI: 10.4293/CRSLS.2014.00149
url
https://doi.org/10.4293/CRSLS.2014.00149View
Published (Version of record) Open Access

Abstract

Introduction: Single-incision laparoscopic surgery has gained popularity in recent years with an increasing number of complicated procedures being performed using this approach. Single-port total colectomy has been reported in the literature mainly in the setting of inflammatory bowel disease and polyposis. We report on a young patient who underwent single-port abdominal colectomy for transverse colon cancer along with multiple colonic polyps. Case Description: A 33-year-old female presented initially with a vague abdominal pain. Her workup included a colonoscopy that showed multiple colonic polyps with a circumferential fungating lesion in the transverse colon. This lesion was biopsied and found to be positive for moderately differentiated adenocarcinoma of the colon. With these findings, the patient was advised about the different surgical options, and the decision was made to go for abdominal colectomy with ileorectal anastomosis. Given this patient’s low BMI and favorable body habitus, the procedure was performed with a single-port technique through a small umbilical incision. There were no perioperative complications, and the final pathologic examination revealed a 5-cm invasive moderately differentiated carcinoma extending through the muscularis propria into pericolonic fat and multiple colonic tubulovillous adenomas along with 22 regional lymph nodes draining the basin of the distal transverse colon, all of which were negative for malignancy. Conclusion: Single-port laparoscopic total colectomy for colon cancer in carefully selected patients and in the hands of a fully trained laparoscopic surgeon is feasible and appears to offer more cosmetic benefits than conventional laparoscopic colectomy, with similar short-term and oncological outcomes.

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