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Cristiano Germano Huscher, MD, FRCS; Andrea Mingoli, MD; Giovanna Sgarzini, MD; Gioia Brachini, MD; Barbara Binda, MD

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

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.

We share the authors' enthusiasm for this innovative technique, but we believe that its promising benefits can also be achieved with a single 4-cm periumbilical skin incision and 3 . . . [Full Text of this Article]

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RELATED ARTICLE

Single-Access Laparoscopic Sigmoidectomy as Definitive Surgical Management of Prior Diverticulitis in a Human Patient
Joel Leroy, Ronan A. Cahill, Misuhiro Asakuma, Bernard Dallemagne, and Jacques Marescaux
Arch Surg. 2009;144(2):173-179.
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Feasibility of Colonic and Gastric Standard Laparoscopic Procedures With a Single Skin Incision Approach—Reply
Ronan A. Cahill, Joël Leroy, Mitsuhiro Asakuma, Bernard Dallemagne, and Jacques Marescaux
Arch Surg. 2009;144(10):977-978.
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