Retrospective Study
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Feb 28, 2015; 21(8): 2381-2386
Published online Feb 28, 2015. doi: 10.3748/wjg.v21.i8.2381
Single-port laparoscopic surgery for sigmoid volvulus
Byung Jo Choi, Won Jun Jeong, Say-June Kim, Sang Chul Lee
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
Author contributions: Lee SC designed the study, and finally approved the version to be published; Jeong WJ and Kim SJ equally contributed to acquiring and analyzing data; Choi BJ interpreted data and wrote the manuscript.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Sang Chul Lee, MD, PhD, Professor, Department of Surgery, Daejeon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Daeheung-dong 520-2, Joong-gu, Daejeon 301723, South Korea. zambo9@catholic.ac.kr
Telephone: +82-42-2209520 Fax: +82-42-2209565
Received: July 16, 2014
Peer-review started: July 16, 2014
First decision: August 27, 2014
Revised: September 11, 2014
Accepted: October 21, 2014
Article in press: October 21, 2014
Published online: February 28, 2015
Processing time: 227 Days and 2.8 Hours
Abstract

AIM: 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.

CONCLUSION: SPLS was a safe and feasible therapeutic approach for SV, when performed by a surgeon experienced in conventional laparoscopic surgery.

Keywords: Sigmoid volvulus; Laparoscopy; Single-port; Anastomosis; Hartmann procedure

Core tip: This paper describes our novel approach to single port laparoscopic surgery (SPLS) in patients with sigmoid volvulus (SV). Ever since minimally invasive surgery was pioneered, few reports have mentioned laparoscopic management of SV, and to our knowledge, reports on the management of SV using SPLS are even less common. Minimally invasive surgery is ideally suited for SV patients who, in developed nations, are typically elderly individuals with significant comorbidities. Despite the study limitations, our results provide support for the use of SPLS in SV patients.