Transumbilical single incision laparoscopic total colectomy and partial proctectomy with ileorectal anastomosis
Epublication WebSurg.com, Sep 2010;10(09). URL: http://websurg.com/doi/vd01en3033
This video demonstrates our transumbilical three-trocar technique for single incision total colectomy and partial proctectomy with intracorporeal side-to-end ileorectal anastomosis using standard laparoscopic instrumentation. The patient is a thin 19-year-old boy with a BMI of 19 presenting with familial adenomatous polyposis (FAP). The previous colonoscopy has shown 300 polyps in the colon and very few in the distal rectum. Conventional trocars (5mm, 10mm, and 12mm) are used through a 3.5cm transumbilical incision. The ligation of the vessels is mostly carried out by the Ligasure-V vessel-sealing device using a medial-to-lateral approach. The specimen is extracted through the umbilical incision after removal of the 10mm and 12mm cannulas. The ileorectal anastomosis is carried out intracorporeally using a double stapling technique.