Elective Single-incision Laparoscopy-assisted Sigmoid Colectomy for Recurrent Volvulus of the Sigmoid Colon ―Report of Two Cases

• Published in: Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) Vol. 39; no. 7; pp. 1235 - 1238
• Main Authors: Matsui, Daisuke, Miyata, Takashi, Futagami, Fumio
• Format: Journal Article
• Language: Japanese
• Published: Japanese Society for Abdominal Emergency Medicine 30.11.2019; 日本腹部救急医学会
• Subjects: S状結腸軸捻転症; 単孔式; 腹腔鏡補助下手術
• ISSN: 1340-2242; 1882-4781
• DOI: 10.11231/jaem.39.1235

We present a report of two patients with recurrent volvulus of the sigmoid colon who were treated by single-incision laparoscopy-assisted sigmoid colectomy after endoscopic decompression. (Case 1) A 74-year-old man presented to us with a history of abdominal pain. Based on the findings of physical examination, plain X-ray of the abdomen, and abdominal computed tomography (CT), the patient was diagnosed as having volvulus of the sigmoid colon. Endoscopic reduction was performed successfully. Subsequently, 6 and 11 months later, the patient presented to us again complaining of abdominal pain. Thereafter, based on the diagnosis of recurrent volvulus of the sigmoid colon, we performed single-incision laparoscopic-assisted sigmoid colectomy. The patient was discharged from the hospital 9 days after the operation, after an uneventful postoperative course. (Case 2) An 86-year-old woman presented to us complaining of abdominal pain. Based on the findings of physical examination, plain X-ray of the abdomen, and abdominal CT, she was diagnosed as having volvulus of the sigmoid colon. Endoscopic reduction was performed successfully. Subsequently the patient presented to us again 3 months later complaining of abdominal pain. Based on the diagnosis of recurrent volvulus of the sigmoid colon, we performed single-incision laparoscopic-assisted sigmoid colectomy. The patient was discharged from our hospital 13 days after the operation, after an uneventful postoperative course. Single-incision laparoscopy-assisted surgery for patients with recurrent volvulus of the sigmoid colon after endoscopic decompression is safe and feasible, and therefore, a valid therapeutic option.