We read with great interest the article by Leroy et al1 about their innovative single-access laparoscopic sigmoidectomy for diverticulitis. The rationale for this minimally invasive procedure is the improved cosmetic results; the potential decrease in morbidity related to visceral and vascular injuries during trocar placement; and the lower risk of postoperative wound infection, hernia formation, and pain. By using technical innovations like umbilical, multichannel, single-port, magnetic anchoring; roticulated graspers; and intraluminal assistance for traction, they performed a sigmoidectomy for diverticulitis via a 2-cm single skin incision. However, because of the difficulty in performing full mesenteric dissections, they consider this procedure unsuitable for oncologic resections.
Huscher CG, Mingoli A, Sgarzini G, Brachini G, Binda B. Feasibility of Colonic and Gastric Standard Laparoscopic Procedures With a Single Skin Incision Approach. Arch Surg. 2009;144(10):977–980. doi:10.1001/archsurg.2009.168