Single-port laparoscopic surgery for sigmoid volvulus.
OBJECTIVE
To report our experience with single-port laparoscopic surgery (SPLS) for sigmoid volvulus (SV).


METHODS
Between October 2009 and April 2013, 10 patients underwent SPLS for SV. SPLS was performed transumbilically or through a predetermined stoma site. Conventional straight and rigid-type laparoscopic instruments were used. After intracorporeal, segmental resection of the affected sigmoid colon, the specimen was extracted through the single-incision site. Patient demographics and perioperative data were analyzed.


RESULTS
SPLS for SV was successful in all 10 patients (4, resection and primary anastomosis; 6, Hartmann's procedure). The median operative time and postoperative hospitalization period were 168 (range, 85-315) min and 6.5 (range, 4-29) d, respectively. No intraoperative complications were noted; there were 2 postoperative complications, including 1 anastomotic leak.


CONCLUSIONS
SPLS was a safe and feasible therapeutic approach for SV, when performed by a surgeon experienced in conventional laparoscopic surgery.
Byung Jo Choi, Won Jun Jeong, Say-June Kim, Sang Chul Lee, Department of Surgery, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Daejeon 301723, South Korea.
Byung Jo
BJ
Choi
Byung Jo Choi, Won Jun Jeong, Say-June Kim, Sang Chul Lee, Department of Surgery, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Daejeon 301723, South Korea.
Won Jun
WJ
Jeong
Byung Jo Choi, Won Jun Jeong, Say-June Kim, Sang Chul Lee, Department of Surgery, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Daejeon 301723, South Korea.
Say-June
SJ
Kim
Byung Jo Choi, Won Jun Jeong, Say-June Kim, Sang Chul Lee, Department of Surgery, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Daejeon 301723, South Korea.
Sang Chul
SC
Lee
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D057868:Anastomotic Leak / Q000209:etiology; D002983:Clinical Competence; D004867:Equipment Design; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D045822:Intestinal Volvulus / Q000175:diagnosis / Q000601:surgery*; D020706:Laparoscopes; D010535:Laparoscopy / Q000295:instrumentation / Q000379:methods*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D056910:Republic of Korea; D012189:Retrospective Studies; D012810:Sigmoid Diseases / Q000175:diagnosis / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult
Anastomosis; Hartmann procedure; Laparoscopy; Sigmoid volvulus; Single-port