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Related Experiment Video

Updated: Apr 16, 2026

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
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Single-port laparoscopic surgery for sigmoid volvulus.

Byung Jo Choi1, Won Jun Jeong1, Say-June Kim1

  • 1Byung 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.

World Journal of Gastroenterology
|March 6, 2015
PubMed
Summary

Single-port laparoscopic surgery (SPLS) is a safe and feasible approach for treating sigmoid volvulus (SV). This minimally invasive technique demonstrated successful outcomes in 10 patients, with low complication rates.

Keywords:
AnastomosisHartmann procedureLaparoscopySigmoid volvulusSingle-port

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Area of Science:

  • Minimally Invasive Surgery
  • Gastrointestinal Surgery
  • Surgical Innovation

Background:

  • Sigmoid volvulus (SV) is a common cause of large bowel obstruction.
  • Traditional surgical approaches for SV can be invasive.
  • Single-port laparoscopic surgery (SPLS) offers a less invasive alternative.

Purpose of the Study:

  • To evaluate the safety and feasibility of SPLS for sigmoid volvulus.
  • To report perioperative outcomes of SPLS in SV patients.
  • To assess the efficacy of a single-incision approach for SV treatment.

Main Methods:

  • Retrospective analysis of 10 patients undergoing SPLS for SV (October 2009 - April 2013).
  • SPLS performed transumbilically or via stoma site using conventional laparoscopic instruments.
  • Intracorporeal resection and specimen extraction through the single incision.

Main Results:

  • Successful SPLS in all 10 patients (4 resection/anastomosis, 6 Hartmann's procedure).
  • Median operative time: 168 minutes; Median hospitalization: 6.5 days.
  • No intraoperative complications; 2 postoperative complications (1 anastomotic leak).

Conclusions:

  • SPLS is a safe and feasible option for sigmoid volvulus treatment.
  • Experienced laparoscopic surgeons can effectively utilize SPLS for SV.
  • Minimally invasive approach shows promising results for SV management.