Case Report
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World J Gastroenterol. Mar 7, 2013; 19(9): 1489-1493
Published online Mar 7, 2013. doi: 10.3748/wjg.v19.i9.1489
Single port laparoscopic right hemicolectomy for ileocolic intussusception
Jia-Hui Chen, Jhe-Syun Wu
Jia-Hui Chen, Jhe-Syun Wu, Department of Surgery, Mennonite Christian Hospital, Hualien 970, Taiwan
Jia-Hui Chen, Division of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei 100, Taiwan
Jia-Hui Chen, Graduate Institute of Medical Sciences, Tzu Chi University, Hualien 97064, Taiwan
Author contributions: Chen JH and Wu JS contributed to the manuscript writing and revision.
Correspondence to: Jhe-Syun Wu, MD, Department of Surgery, Mennonite Christian Hospital, 44 Min-chuan Road, Hualien 970, Taiwan. gib6234@yahoo.com.tw
Telephone: +886-3-8241241 Fax: +886-3-8236499
Received: September 25, 2012
Revised: November 30, 2012
Accepted: December 15, 2012
Published online: March 7, 2013
Processing time: 168 Days and 5.9 Hours
Abstract

A 36-year-old male was admitted with right lower abdominal pain and diarrhea for more than 3 mo. Colonoscopy and a barium enema study revealed a submucosal tumor over the cecum, but computed tomography showed an ileal lipoma. There was no definitive diagnosis preoperatively, but ileocolic intussusception was noted during surgery. Single port laparoscopic radical right hemicolectomy was performed because intra-operative reduction failed. The histological diagnosis of the resected tumor was lipoma. Single port laparoscopic surgery has recently been proven to be safe and feasible. There are advantages compared with conventional laparoscopic surgery, such as smaller incision wounds, fewer port site complications, and easier conversion. However, there are some drawbacks which need to be overcome, such as difficulties in triangulation and instrument clashing. If there are no contraindications to laparoscopy, single port laparoscopic surgery can be performed safely and should be considered for diagnosis and treatment of intussusception in adults. Here, we report the first case of ileocolic intussusception successfully treated by single port laparoscopic surgery.

Keywords: Ileal lipoma; Ileocolic intussusception; Single port laparoscopic right hemicolectomy; Minimal invasive surgery