title: Usability of elective laparoscopic sigmoidectomy and feasibility of single-incision laparoscopic surgery for sigmoid volvulus: report of three cases.
abstract: 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.
authors.affiliation: 1 Department of Surgery, NTT West Osaka Hospital, Osaka, Japan.
authors.forename: Masami
authors.initials: M
authors.lastname: Ueda
authors.forename: Tadashi
authors.initials: T
authors.lastname: Onishi
authors.forename: Taishi
authors.initials: T
authors.lastname: Hata
authors.forename: Kentaro
authors.initials: K
authors.lastname: Nishida
authors.forename: Takehiro
authors.initials: T
authors.lastname: Yanagawa
authors.forename: Shoichiro
authors.initials: S
authors.lastname: Fujita
authors.forename: Junya
authors.initials: J
authors.lastname: Fujita
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Yoshida
authors.forename: Takeshi
authors.initials: T
authors.lastname: Tono
authors.forename: Takushi
authors.initials: T
authors.lastname: Monden
authors.forename: Shingi
authors.initials: S
authors.lastname: Imaoka
authors.forename: Masaki
authors.initials: M
authors.lastname: Mori
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003082:Colectomy / Q000379:methods*; D003113:Colonoscopy; D003131:Combined Modality Therapy; D017558:Elective Surgical Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D045822:Intestinal Volvulus / Q000601:surgery* / Q000628:therapy; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D012810:Sigmoid Diseases / Q000601:surgery* / Q000628:therapy
keywords: Laparoscopic sigmoidectomy; Sigmoid volvulus; Single-port surgery