Single-incision laparoscopic surgery through an ostomy site: A natural approach by an unnatural orifice

Nicole E. Lopez, Carrie Y. Peterson, Sonia L. Ramamoorthy, Elisabeth C. McLemore, Michael F. Sedrak, Andrew M. Lowy, Santiago Horgan, Mark A. Talamini, Jason K. Sicklick

Research output: Contribution to journalArticle

Abstract

Single-incision laparoscopic surgery (SILS) is gaining popularity for a wide variety of surgical operations and capitalizes on the benefits of traditional laparoscopic surgery without incurring multiple incision sites. Traditionally, SILS is performed by a midline periumbilical approach. However, such a minimally invasive approach may be utilized in patients who already have an abdominal incision. Our series retrospectively reviews 7 cases in which we utilized the fascial defect at the time of after ostomy reversal as our SILS incision site. In turn, we performed a variety of concurrent intra-abdominal procedures with excellent technical success and outcomes. Our study is the largest single-institution case series of this novel approach and suggests that utilizing an existing ostomy-site abdominal incision is a safe and effective location for SILS port placement and should be considered in patients undergoing concurrent procedures.

Original languageEnglish (US)
Pages (from-to)74-78
Number of pages5
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume25
Issue number1
DOIs
StatePublished - Feb 27 2015

Keywords

  • Ingle-incision laparoscopy
  • endoscopic surgery
  • minimally invasive surgery
  • ostomy

ASJC Scopus subject areas

  • Surgery

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    Lopez, N. E., Peterson, C. Y., Ramamoorthy, S. L., McLemore, E. C., Sedrak, M. F., Lowy, A. M., Horgan, S., Talamini, M. A., & Sicklick, J. K. (2015). Single-incision laparoscopic surgery through an ostomy site: A natural approach by an unnatural orifice. Surgical Laparoscopy, Endoscopy and Percutaneous Techniques, 25(1), 74-78. https://doi.org/10.1097/SLE.0000000000000022