Laparoscopic Management of Sigmoid Volvulus for Which Endoscopic Reduction had Failed.

, Choi, Sung Il; , Lee, Suk Hwan

doi:2008.24.5.390

Case Report

Journal of the Korean Society of Coloproctology 2008;24(5):390-393.
DOI: https://doi.org/10.3393/jksc.2008.24.5.390

Laparoscopic Management of Sigmoid Volvulus for Which Endoscopic Reduction had Failed.

Choi, Sung Il , Lee, Suk Hwan

Department of Surgery, Kyunghee University School of Medicine, Seoul, Korea. drchoi@khu.ac.kr

Abstract

The laparoscopic approach to the treatment of sigmoid volvulus has been challenging because of the different anatomy of the colon and the mesentery. We report a case of a laparoscopic sigmoidectomy and anastomosis for a patient with sigmoid volvulus for whom endoscopic reduction had failed. A 68-year-old man with sigmoid colon volvulus underwent laparoscopic surgery. The laparoscopic surgery was difficult because of the tortuous and dilated bowel and the many fibrous bands. We performed an intraoperative decompression by using a rectal tube through the anus and a primary anastomosis without on- table preparation. The patient was discharged six days later without complications. We assumed that laparoscopic resection and anastomosis is a safe, effective procedure for the management of sigmoid volvulus.

Key Words: Sigmoid volvulus; Laparoscopic surgery