Single-port laparoscopic left colectomy for colo-colonic intussusception caused by giant lipoma

Abstract

Laparoscopic surgery for colorectal disease has been shown to improve postoperative healing compared with open surgery. Specifically, studies suggest that laparoscopic techniques can reduce postoperative pain and recovery time, reduce the need for postoperative analgesia, and allow a more rapid return to normal activities compared with open surgery. A series of cases have been reported in the literature concerning the success rate of single-incision laparoscopic colectomy used in the treatment of benign or malign colorectal disease. A 38-year-old female patient having chronic cramping abdominal pain, who\'s descending colon included a giant lipoma causing intussusceptions. Lipoma was detected by colonoscopy, the histological examination revealed lipoma and then was operated with single port laparoscopic left colectomy in elective conditions. No intraoperative and postoperative complications occurred. The operation time was 105 minutes. The wound size was 2.5 cm. The patient was discharged uneventfully on postoperative day four.

Keywords

• Lipoma, colo-colonic intussusceptions, single incision

Dev lipomun neden olduğu kolo-kolonik invajinasyon için tek port laparoskopik sol kolektomi

Abstract

Kolorektal hastalık için laparoskopik cerrahi açık cerrahi ile karşılaştırıldığında postoperatif iyileşmeyi artırdığı gösterilmiştir. Özellikle, çalışmalar laparoskopik tekniklerin postoperatif ağrı ve iyileşme süresini azalttığı, postoperatif analjezi ihtiyacını azalttığı ve açık cerrahi ile karşılaştırıldığında normal aktivitelerine daha hızlı bir geri dönüş sağlayabildiğini öne sürmektedir. Kronik kramp tarzında karın ağrısı olan 38 yaşındaki kadın hastanın inen kolonda intusepsiyona neden olan dev lipomu vardı. Lipom kolonoskopi ile tespit edildi ve histolojik incelemede lipom tanısı konuldu, takiben elektif koşullarda tek port laparoskopik sol kolektomi ile ameliyat edildi. İntraoperatif ve postoperatif komplikasyon gelişmedi. Hasta postoperatif dördüncü günde sorunsuz olarak taburcu edildi.

Keywords

• Lipom, kolo-kolonik intussepsiyon, tek kesi

References

1. Jacobs M, Verdeja JC, Goldstein HS. Minimally invasive colon resection (laparoscopic colectomy). Surg Laparosc Endosc 1991;1:144-150.
2. Lourenco T, Murray A, Grant A, et al. Laparoscopic surgery for colorectal cancer: safe and effective? A systematic re- view. Surg Endosc 2008;22:1146-1160.
3. Remzi FH, Kirat HT, Kaouk JH, et al. Single-port laparosco- py in colorectal surgery. Colorectal Dis 2008;10:823-826.
4. Bardají M, Roset F, Camps R, et al. Symptomatic colonic lipoma: differential diagnosis of large bowel tumors. Int J Colorectal Dis 1998;13:1-2.
5. Rogy MA, Mirza D, Berlakovich G, et al. Submucous large- bowel lipomas: presentation and management. An 18-year study. Eur J Surg 1999;157:51-55.
6. Suárez Moreno RM, Hernández Ramírez DA, et al. Multiple intestinal lipomatosis. Case report. Cir Cir 2010;78:163- 165.
7. Zhang H, Cong JC, Chen CS, et al. Submucous colon lipoma: a case report and review of the literature. World J Gastroen- terol 2005;11:3167-3169.
8. Wang N, Cui XY, Liu Y, et al. Adult intussusception: a retrospective review of 41 cases. World J Gastroenterol 2009;15:3303-3308.

9. Navarra G, Pozza E, Occhionorelli S, et al. One-wound lapa- roscopic cholecystectomy. Br J Surg 1997;84:695.
10. Lacy AM, Delgado S, Rojas OA, et al. MA-NOS radical sigmoidectomy: report of a transvaginal resection in the hu- man. Surg Endosc 2008;22:1717–1723.
11. Bucher P, Pugin F, Morel P, et al. Scarless surgery: myth or reality through NOTES? Rev Med Suisse 2008;4:1550- 1552.
12. Cuesta M, Berends F, Veenhof A. The “invisible cholecys- tectomy”: A Transumbilical laparoscopic operation without a scar. Surg Endosc 2008;22:1211-1213.
13. Bucher P, Wutrich P, Pugin F, et al. Totally intracorporeal laparoscopic colorectal anastomosis using circular stapler. Surg Endosc 2008;22:1278–1282.
14. Stewart DB, Messaris E. Outcomes for consecutive patients undergoing single-site laparoscopic colorectal surgery. J Gastrointest Surg 2012;16:849-856.