Single incision laparoscopic left colectomy for carcinoma of distal transverse colon

Abstract

Objective: We report a single-incision laparoscopic left colectomy for a patient with a distal transverse colon cancer. Method: A 78-year-old man with carcinoma of the transverse colon close to the splenic flexure underwent a single-incision laparoscopic left colectomy with full mobilization of splenic flexure using the TriPort TM Access System and ordinary laparoscopic instruments. Results: The operation was successfully performed. The patient recovered uneventfully and was discharged after 3 days. Histopathological examination showed a T3N1 tumour with clear resection margins. Conclusion: This case demonstrates that single-incision laparoscopic colectomy can be applied safely to large bowel cancer close to the splenic flexure. The technique warrants further investigation. © 2010 The Authors. Journal Compilation © 2010 The Association of Coloproctology of Great Britain and Ireland.