Single Incision (“Scarless”) Laparoscopic Total Abdominal Colectomy with End Ileostomy for Ulcerative Colitis

摘要

Introduction Total abdominal colectomy with ileal pouch–anal anastomosis is the intervention of choice for patients with medically uncontrolled ulcerative colitis. A three-stage approach is preferred in particularly debilitated patients. In this setting, laparoscopic surgery has shown to be safe, offering several advantages over the open approach. Single incision laparoscopic surgery is a new minimally invasive approach which represents a true scarless procedure for the first step of the restorative proctocolectomy. In this article, we describe our technique in performing the single-incision total abdominal colectomy.