Reversal of left-sided colostomy utilizing single-port laparoscopy: single-center consolidation of a new technique

Loon, Yu-Ting van; Clermonts, Stefan H. E. M.; Wasowicz, D. K.; Zimmerman, D. D. E.

doi:10.1007/s00464-019-06771-5

Cited by 9 publications

(17 citation statements)

References 20 publications

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“…Midline adhesiolysis or adhesiolysis in order to place trocars have become unnecessary when using the stoma fenestration as port, since the reversal of a left-sided colostomy takes place the left side of the abdomen alone. This advantage has been confirmed before [3,13,15,23,24]. Another advantage of SP is that it obviates the need to treat a concomitant complex abdominal wall defect or incisional hernia, this entire area can be left alone when using the stoma fenestration as access [15].…”

Section: Discussionmentioning

confidence: 79%

“…All patients were placed in modified lithotomy position and given metronidazole 500 mg and cefuroxime 1500 mg intravenously. The operative procedure of the SPRLC has been described in detail previously [3,[13][14][15][17][18][19]. In short, the colostomy was mobilized down to the fascia and the anvil for a circular stapler was placed in the descending colon before returning it to the abdominal cavity through the original colostomy site.…”

Section: Surgical Techniquementioning

confidence: 99%

“…A total of 86 studies were excluded for solely discussing laparoscopy (n = 15), comparing results of laparoscopic reversal versus open reversal of left-sided colostomy (n = 11), treatment of diverticulitis (n = 25), video vignettes (n = 4), using other novel techniques of stoma reversal (n = 5), case reports on stoma problems (n = 3) and other articles unrelated to singleport stoma reversal surgery (n = 23). Three previous published articles on this topic from our current collaborative group of authors were excluded [3,15,17], one article was excluded due to inclusion of their more recent manuscript [21], one meta-analysis on this topic was excluded since it had no additional new studies [22], leaving 5 included original articles [13,14,19,23,24]. This appraisal shows that since the introduction of the single-port approach in Hartmann's reversal in 2011 by Smith and Bettinger [13], additional case series have been published on this topic.…”

Section: Appraisal Of the Literaturementioning

confidence: 99%

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Reversal of left-sided colostomy utilizing single-port laparoscopy a multicenter European audit and overview of the literature

et al. 2021

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Background Stoma reversal surgery can result in considerable morbidity and even mortality. Feasibility of utilizing single-port laparoscopy through the stoma fenestration have been shown before. Aim of the present observational study is to evaluate multicenter experiences of single-port reversal of left-sided colostomy (SPRLC) throughout Europe and to provide an overview of available literature on this topic. Methods All patients undergoing SPRLC in four different teaching hospitals throughout Europe are included. Primary outcome was 30-day postoperative complication rate. Secondary outcomes were postoperative length of stay (LOS), single-port success rate and conversion rates. Appraisal of the available literature in PubMed was performed. Results Of 156 SPRLC procedures, 98.7% of them were technically successful and 71.8% were without postoperative complications. No postoperative mortality was encountered. Superficial site infection occurred in 14.7%, anastomotic leakage in 3.9% and major complications in 8.3%. Median LOS was 4.0 days (1–69), single-port success rate was 64.7%, 12.8% and 21.2% (33/154) were converted to an open and multiport laparoscopic procedure, respectively. Literature shows equally favorable results in 131 patients divided over 5 cohorts with morbidity ranging from 0 to 30.4% and mortality from 0 to 2.2% and median LOS of 4–8 days. Conclusion This study confirms the safety, feasibility and favorable results of the use of single-port approach in the reversal of left-sided colostomy in different centers in Europe with laparoscopic experienced colorectal surgeons. The available literature on this topic support and show equally favorable results using single-port laparoscopy for left-sided colostomy reversal surgery.

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Section: Discussionmentioning

confidence: 79%

Section: Surgical Techniquementioning

confidence: 99%

Section: Appraisal Of the Literaturementioning

confidence: 99%

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Reversal of left-sided colostomy utilizing single-port laparoscopy a multicenter European audit and overview of the literature

et al. 2021

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“…From previous studies regarding LHR, the LHR principle can be divided into 2 groups of approaches including "stoma first" approach or "stoma the last" approach. In the stoma first approach, authors chose to take down the stoma first; the stoma site was used as a port for trocar or even single port insertion [11][12][13][14]. In our study, we chose to take down the stoma at the end of procedure to make sure everything ready for establishing anastomosis.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Hartmann reversal: experiences from a developing country

et al. 2022

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Laparoscopic surgery is considered a promising approach for Hartmann reversal but is also a complicated major surgical procedure. We conducted a retrospective analysis at a city hospital in Vietnam to evaluate the treatment technique and outcomes of laparoscopic Hartmann reversal (LHR). Methods: A colorectal surgery database in 5 years between 2015 and 2019 (1,175 cases in total) was retrieved to collect 35 consecutive patients undergoing LHR. Results: The patients had a median age of 61 years old. The median operative time was 185 minutes. All the procedures were first attempted laparoscopically with a conversion rate of 20.0% (7 of 35 cases). There was no intraoperative complication. Postoperative mortality and morbidity were 0 and 11.4% (2 medical, 1 deep surgical site infection, and 1 anastomotic leak required reoperation) respectively. The median time to first bowel activity was 2.8 days and median length of hospital stay was 8 days. Conclusion: When performed by skilled surgeons, LHR is a feasible and safe operation with acceptable morbidity rate.

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“…However, literature that considered SPLR found it to be superior to the CL approach (i.e., multi-port laparoscopic reversal) [23,24]. A 2019 study showed that compared to OS and CL, SPLR resulted in significantly shorter operating times and hospitalization [8,13], with significantly fewer complications in the SPLR group vs. OS [14].…”

Section: Single-port Laparoscopic Reversalmentioning

confidence: 99%

Reversal of Hartmann's Procedure: Evaluating Outcomes of Single-Port Laparoscopic Approach Versus Conventional Approach

Arnold

May

Nanthakumaran

et al. 2020

Cureus

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Reversal of left-sided colostomy utilizing single-port laparoscopy: single-center consolidation of a new technique

Cited by 9 publications

References 20 publications

Reversal of left-sided colostomy utilizing single-port laparoscopy a multicenter European audit and overview of the literature

Reversal of left-sided colostomy utilizing single-port laparoscopy a multicenter European audit and overview of the literature

Laparoscopic Hartmann reversal: experiences from a developing country

Reversal of Hartmann's Procedure: Evaluating Outcomes of Single-Port Laparoscopic Approach Versus Conventional Approach

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