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Methods: Between September 2009 und April 2010, 4 patients underwent SPA sigmoidectomy for Hinchey-I diverticulitis using the reusable X-Cone device. Results: After a median time of antibiotic treatment of 8 days, SPA sigmoidectomy was performed successfully in all patients. The median operative time was 200 minutes (range, 187-221 minutes). No intraoperative or postoperative complications were recorded; the median postoperative hospital stay was 7 days (range, 5-7 days). No incisional hernias were observed at midterm follow-up (median, 11.5 months; range, 8-14 months). Conclusions: When performed by an experienced laparoscopic surgeon, early-elective SPA sigmoidectomy is a feasible and safe approach to complicated diverticulitis. The reusability of the X-Cone device ensures that the costs of the procedure are not high.<\/jats:p>","DOI":"10.1177\/1553350611413610","type":"journal-article","created":{"date-parts":[[2011,7,21]],"date-time":"2011-07-21T20:49:12Z","timestamp":1311281352000},"page":"45-49","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Early-Elective Single-Incision Laparoscopic Sigmoidectomy for Perforated Diverticulitis Using a Totally Reusable Single-Port Device"],"prefix":"10.1177","volume":"19","author":[{"given":"Joachim","family":"Reibetanz","sequence":"first","affiliation":[{"name":"University Hospital of W\u00fcrzburg, W\u00fcrzburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Kerscher","sequence":"additional","affiliation":[{"name":"University Hospital of W\u00fcrzburg, W\u00fcrzburg, 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