title: Single-site laparoscopic right hemicolectomy for acute cecal volvulus: a case report.
abstract: BACKGROUND
  Cecal volvulus is an uncommon cause of acute abdomen in patients. Cecal volvulus is currently treated mostly with right hemicolectomy with laparotomy, which is an invasive surgical procedure. Less invasive techniques, such as endoscopic decompression, have a poor success rate.
  
  
  METHODS
  We report a case of cecal volvulus in a 35-year-old male patient. He was successfully treated with single-site laparoscopic decompression by inserting a catheter through the amputated appendix, detorsion, and hemicolectomy. This approach was less invasive than the traditional approach and resulted in satisfactory outcomes and cosmesis.
  
  
  CONCLUSIONS
  Application of single-site laparoscopic colectomy to acute cecal volvulus is feasible using decompression of the dilated colon by inserting a catheter through the amputated appendix. To the best of our knowledge, this is the first report of this treatment.
authors.affiliation: Department of Surgery, Kansai Rosai Hospital, Amagasaki, Hyogo, Japan. yoshikagawa@gmail.com.
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Kagawa
authors.affiliation: Department of Surgery, Kansai Rosai Hospital, Amagasaki, Hyogo, Japan.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Kato
authors.affiliation: Department of Surgery, Kansai Rosai Hospital, Amagasaki, Hyogo, Japan.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Naito
authors.affiliation: Department of Surgery, Kansai Rosai Hospital, Amagasaki, Hyogo, Japan.
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Morimoto
authors.affiliation: Department of Surgery, Kansai Rosai Hospital, Amagasaki, Hyogo, Japan.
authors.forename: Yasufumi
authors.initials: Y
authors.lastname: Sato
authors.affiliation: Department of Surgery, Kansai Rosai Hospital, Amagasaki, Hyogo, Japan.
authors.forename: Ryuichi
authors.initials: R
authors.lastname: Kuwahara
authors.affiliation: Department of Surgery, Kansai Rosai Hospital, Amagasaki, Hyogo, Japan.
authors.forename: Tomo
authors.initials: T
authors.lastname: Ishida
authors.affiliation: Department of Surgery, Kansai Rosai Hospital, Amagasaki, Hyogo, Japan.
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Oneda
authors.affiliation: Department of Surgery, Kansai Rosai Hospital, Amagasaki, Hyogo, Japan.
authors.forename: Kohei
authors.initials: K
authors.lastname: Murakami
authors.affiliation: Department of Surgery, Kansai Rosai Hospital, Amagasaki, Hyogo, Japan.
authors.forename: Junichi
authors.initials: J
authors.lastname: Inatome
authors.affiliation: Department of Surgery, Kansai Rosai Hospital, Amagasaki, Hyogo, Japan.
authors.forename: Yoshiteru
authors.initials: Y
authors.lastname: Katsura
authors.affiliation: Department of Surgery, Kansai Rosai Hospital, Amagasaki, Hyogo, Japan.
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Ohmura
authors.affiliation: Department of Surgery, Kansai Rosai Hospital, Amagasaki, Hyogo, Japan.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Takeno
authors.affiliation: Department of Surgery, Kansai Rosai Hospital, Amagasaki, Hyogo, Japan.
authors.forename: Chiyomi
authors.initials: C
authors.lastname: Egawa
authors.affiliation: Department of Surgery, Kansai Rosai Hospital, Amagasaki, Hyogo, Japan.
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Takeda
authors.affiliation: Department of Surgery, Kansai Rosai Hospital, Amagasaki, Hyogo, Japan.
authors.forename: Shigeyuki
authors.initials: S
authors.lastname: Tamura
keywords: Appendix; Bowel obstruction; Catheterization; Cecal volvulus; Cecum; Decompression; Laparoscopic colectomy; Laparoscopic surgery; Right hemicolectomy; Single-site laparoscopic surgery