Abstract
PURPOSE: Volvulus of the sigmoid carries a high mortality. This minimally invasive technique is designed for poor-risk patients. TECHNIQUE: Aided by laparoscopy, the mobile sigmoid is exteriorized through a mini-incision without preliminary dissection. The entire resection and anastomosis is performed on the surface of the abdomen. The options of end colostomy, primary anastomosis with or without fecal diversion, can all be used with this method. RESULTS: No mortality or leakage occurred in four patients. CONCLUSION: This rapid operation does not require advanced laparoscopic skills. Preliminary results should be confirmed by others.
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Ballantyne GH, Brandner MD, Beart RW Jr, Ilstrup DM. Volvulus of the colon: incidence and mortality. Ann Surg 1985;202:83–91.
Welch GH, Anderson JR. Acute volvulus of the sigmoid colon. World J Surg 1987;11:258–62.
Starling JR. Initial treatment of sigmoid volvulus by colonoscopy. Ann Surg 1979;190:36–9.
Alexander-Williams J. Loop ileostomy and colostomy for fecal diversion. Ann R Coll Surg Engl 1974;54:141–8.
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Supported by Departmental Research Funds.
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Chung, R.S. Colectomy for sigmoid volvulus. Dis Colon Rectum 40, 363–365 (1997). https://doi.org/10.1007/BF02050429
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DOI: https://doi.org/10.1007/BF02050429