Usability of Elective Laparoscopic Sigmoidectomy and Feasibility of Single-Incision Laparoscopic Surgery for Sigmoid Volvulus: Report of Three Cases

• DOI: 10.9738/intsurg-d-14-00080.1
• Publication Date: 2015-03-18T22:39:23Z
• Authors: Masami Ueda; Tadashi Onishi; Taishi Hata; Kentaro Nishida; Takehiro Yanagawa; Shoichiro Fujita; Junya Fujita; Tetsuya Yoshida; Takeshi Tono; Takushi Monden; Shingi Imaoka; Masaki Mori
• Keywords: Aged, 80 and over; Male; Sigmoid Diseases; Colonoscopy; Combined Modality Therapy; 3. Good health; 03 medical and health sciences; 0302 clinical medicine; Elective Surgical Procedures; Humans; Female; Laparoscopy; Colectomy; Aged; Intestinal Volvulus

A therapeutic guideline for sigmoid volvulus (SV) has not been established, and the most recommended surgical procedure for SV has not been determined. Our objective is to assess the usability of elective laparoscopic sigmoidectomy and the feasibility of single-incision laparoscopic surgery for SV following endoscopic reduction. SV typically affects the elderly and accounts for 1% to 7% of intestinal obstructions in Western countries. We report on 3 patients with SV who underwent elective laparoscopic sigmoidectomy following endoscopic reduction, and we first describe single-port surgery for SV. We discuss the 3 patients (a 79-year-old male, an 88-year-old female, and a 67-year-old female) with SV who underwent elective laparoscopic sigmoidectomy following endoscopic reduction. All 3 patients underwent laparoscopic sigmoidectomy, and 2 patients underwent single-port laparoscopic surgery without complications. Recurrence of volvulus was not seen during the course of 12 to 24 months. In experienced hands, elective laparoscopic sigmoidectomy after colonoscopic detorsion is a valuable alternative, and single-port surgery is also feasible.