Choi BJ, Jeong WJ, Kim SJ, Lee SC. Single-port laparoscopic surgery for sigmoid volvulus.
World J Gastroenterol 2015;
21:2381-2386. [PMID:
25741145 PMCID:
PMC4342914 DOI:
10.3748/wjg.v21.i8.2381]
[Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/16/2014] [Revised: 09/11/2014] [Accepted: 10/21/2014] [Indexed: 02/06/2023] Open
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.
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