Single-incision laparoscopic right colectomy for recurrent Crohn's disease.

A 36-year-old male with Crohn's disease who had undergone partial resection of the small intestine twelve years ago developed recurrent disease in the terminal ileum in March, 2009. He was referred to our department for the second operation because his abdominal pain and appetite loss were progressively worse. He underwent laparoscopic right colectomy using single incision laparoscopic surgery (SILS) for the recurrent lesion in May, 2009. The duration of the operation was 130 min, and perioperative blood loss was 100 ml. His postoperative course was uneventful and was transferred to the Department of Internal Medicine ten days after the operation for the chemotherapy with infliximab. SILS has been performed since the late 1990s for a wide variety of surgical procedures. We describe the reported first case of single incision laparoscopic right colectomy for recurrent Crohn's disease.