She was discharged home well on the second postoperative day and was able to continue her chemotherapy two weeks later. Case 6 �� A 22 year old man (BMI 20.2kg/m2) from the Middle East who presented with a three month history of recurrent www.selleckchem.com/products/CHIR-258.html abdominal pain and weight loss with night sweats having being diagnosed with pulmonary tuberculosis six months prior to presentation. CT and terminal ileoscopy revealed an inflammatory stricture of the terminal ileum. Due to the degree of local symptoms, he went single port laparoscopic resection of the ileal loop with primary stapled extracorporeal anastomosis. Histological examination demonstrated ileocaecal tuberculosis and he was commenced on appropriate therapy. Cases 7, 8, 9 and 10. All females (37 years (BMI 20.8kg/m2), 34 years (BMI kg/m2), 27 years (BMI kg/m2), 24 years (BMI 20.

5kg/m2) with known Crohn’s disease presented with increasingly frequent episodes of intermittent, crampy right iliac fossa pain with occasional postprandial vomiting despite maximal medical therapy. One patient had a palpable mass evident on palpation in her right iliac fossa. CT abdomen revealed distal ileal disease in all cases. Single port laparoscopy allowed the performance of a limited ileo-caecal resection with extracorporeal anastomosis in each case. All made uncomplicated postoperative recoveries and were discharged home on between postoperative day 4 (n = 3) and 6. Subsequent pathological examination confirmed the diagnosis of Crohn’s disease. 4. Discussion SALS provides the benefits of conventional laparoscopy while reducing the tissue trauma due to the reduction in size and number of ports used.

The potential benefits of SALS include reduced postoperative pain, a shorter recovery period, lower morbidity, reduced cost, and superior cosmesis [1]. It also obviates trocar-related intra-abdominal injury and port site incisional hernia formation, and thus may ultimately prove superior. This approach is particularly compelling in cases where a 3cm incision is required anyway for the purposes of specimen extraction or stoma formation and so this wound can be made at the commencement of the surgery and used as the sole site of transabdominal incision before being closed securely under direct vision at procedure end.

The ability to focus local anaesthetic regimens towards one single wound is also intuitively advantageous over the Carfilzomib more variable responses associated with broader regional techniques such as transversus abdominus preperitoneal plane (TAPPS) blocks. To date, however, the published experience is limited with regard to followup beyond hospital discharge and lack of long-term clinical outcome data demonstrating superiority. Furthermore, many laparoscopic surgeons still raise concerns overthe ergonomics of the technique.