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