Novel Application of the EK Glove Port for Single-Incision Diverting Sigmoid Loop Colostomy in Advanced Rectal Cancer.
Background and Objectives
In patients with obstructing rectal cancers who require intestinal diversion before neoadjuvant therapy, minimizing diversion-related recovery and instituting early chemoradiation are critical to optimizing outcomes.


Methods
A novel, simple, safe, and inexpensive technique was developed for single-port laparoscopic diverting sigmoid loop colostomy in a low-resource environment.


Results
Ten consecutive patients with locally advanced rectal cancer underwent single-port, diverting sigmoid loop colostomy using a novel application of the EK glove port. Operative time averaged 59.5 min (range 40-75 min). There were no conversions to multiport laparoscopy or open surgery. There were no intraoperative or early postoperative surgical complications. All patients started chemoradiation therapy within 1 week of diverting colostomy. No surgical reinterventions were required.


Conclusion
Single-port laparoscopic diverting sigmoid loop colostomy utilizing an EK glove port is a novel, technically simple, safe, and cost-effective procedure, especially applicable to patients with obstructing rectal cancer who receive care in a low resource environment.
['Martin|Karamanliev|K|', 'Tsvetomir|Ivanov|I|', 'Grigor|Gorchev|G|', 'Slavcho|Tomov|T|', 'Tashko|Deliyski|D|', 'Dobromir|Dimitrov|D|']
D000328:Adult D000368:Aged D012809:Colon, Sigmoid D003125:Colostomy D005260:Female D005932:Gloves, Surgical D006801:Humans D007415:Intestinal Obstruction D010535:Laparoscopy D008297:Male D008875:Middle Aged D061646:Operative Time D012004:Rectal Neoplasms
glove port colostomy single-port laparoscopic locally advanced rectal cancer laparoscopy