Magnetic Assisted Single Port Partial Colectomy

Gerardo Davalos, MD; Billy Y. Lan, MD; Daniel Guerron, MD; Dana D. Portenier, MD, FACS

Product Details
Product ID: ACS-5532
Year Produced: 2018
Length: 6 min.


Abstract: Appropriate tissue retraction plays an important role in single port laparoscopic partial colectomies (SPLPC). Traditional forceps require an additional trocar insertion which disrupts the surgeons view at the point of dissection and limits surgical instrument mobility. In order to eliminate these problems and further improve surgical outcomes, magnetic devices have been developed that allow trocar-less organ retraction. Objective: To showcase the use of a magnetic retractor device in a SPLPC. Methods: A 76 year old female who was found to have an endoscopically unresectable tubular adenoma with high grade dysplasia on colonoscopy and underwent right SPLPC at Duke Regional Hospital. The ileocolic pedicle was retracted laterally with a magnetic device. The right colon was magnetically retracted medially and dissected at the white line of Toldt up to the hepatic flexure. The proximal transverse colon was divided intra corporeally using a linear cutting stapler. The right colon was exteriorized through the umbilical incision. The terminal ileum was divided using a linear cutting. A side-side ileocolic anastomosis was created using a 60mm linear cutting stapler and the common enterotomy closed using a running absorbable sutures. Results: The patient tolerated the procedure well. Surgical time was 3 hours and 20 min. Estimated blood loss was 10ml. There were no complications reported. The patient was discharged on the second post-operative day. Conclusion: Surgical procedures are progressively becoming less invasive. The use of a magnetic retractor in SPLPC provides a unique setting which allows effective organ retraction while improving intrabdominal instrument mobility and surgical field visualization.