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Single-site laparoscopic right hemicolectomy for acute cecal volvulus: a case report
Yoshinori Kagawa1, Takeshi Kato2, Atsushi Naito2
1Department of Surgery, Kansai Rosai Hospital, Amagasaki, Hyogo, Japan. yoshikagawa@gmail.com.
Surgical Case Reports
|May 28, 2016
Summary
This study presents a novel, minimally invasive approach for treating cecal volvulus. Single-site laparoscopic colectomy via appendix catheter decompression offers a promising alternative to traditional surgery.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
- Surgical Innovation
Background:
- Cecal volvulus is a rare cause of acute abdomen.
- Traditional treatment involves invasive right hemicolectomy via laparotomy.
- Endoscopic decompression has shown limited success rates.
Purpose of the Study:
- To report a novel, less invasive surgical technique for cecal volvulus.
- To demonstrate the feasibility of single-site laparoscopic colectomy for this condition.
Main Methods:
- A case of cecal volvulus in a 35-year-old male was treated.
- A single-site laparoscopic approach was employed.
- Decompression was achieved using a catheter inserted through the amputated appendix, followed by detorsion and hemicolectomy.
Main Results:
- The single-site laparoscopic decompression and hemicolectomy were technically successful.
- The patient experienced satisfactory outcomes and cosmesis.
- This approach proved less invasive than conventional methods.
Conclusions:
- Single-site laparoscopic colectomy is a feasible treatment for acute cecal volvulus.
- Utilizing appendix catheter decompression is an effective strategy.
- This represents the first reported instance of this specific surgical technique.
