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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

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Updated: Jul 8, 2026

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection
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Laparoscopic assisted right hemicolectomy for caecal volvulus.

Michael D Kelly1, John Bunni, Anne M Pullyblank

  • 1Department of Upper GI, Frenchay Hospital, Bristol, UK. Michael.Kelly@NBT.nhs.uk.

World Journal of Emergency Surgery : WJES
|January 23, 2008
PubMed
Summary

Laparoscopic surgery for acute cecal volvulus offers a minimally invasive approach, avoiding major abdominal surgery. This technique enables safe cecal deflation and resection through a small incision.

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Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Abdominal Surgery

Background:

  • Acute cecal volvulus is a rare but serious surgical emergency.
  • Traditional management often requires extensive laparotomy, associated with significant morbidity.
  • Minimally invasive techniques are sought to improve patient outcomes.

Purpose of the Study:

  • To present a case of acute cecal volvulus managed successfully with laparoscopy.
  • To describe a novel technique for safe laparoscopic deflation of the cecum.
  • To demonstrate the feasibility of resection and anastomosis via a small incision.

Main Methods:

  • Laparoscopic approach utilized for diagnosis and management.
  • A specific technique for controlled decompression of the distended cecum was employed.
  • Minimally invasive resection and primary anastomosis performed.

Main Results:

  • Successful laparoscopic management of acute cecal volvulus.
  • Safe and effective deflation of the cecum was achieved.
  • Resection and anastomosis completed through a limited incision, avoiding laparotomy.

Conclusions:

  • Laparoscopy is a viable and safe alternative for acute cecal volvulus.
  • The described deflation technique facilitates minimally invasive surgical management.
  • This approach reduces the need for major abdominal surgery in selected cases.