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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

38
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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Recurrent sigmoid volvulus after robotic-assisted laparoscopic prostatectomy.

Kunind Oberoi1, Kapil Sethi1,2

  • 1Department of Surgery, The University of Melbourne, Parkville, VIC, Australia.

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A rare case of sigmoid volvulus occurred after robotic-assisted laparoscopic prostatectomy (RALP). This complication, potentially linked to RALP procedures, highlights the need for clinical awareness in at-risk patients.

Keywords:
LaparoscopicProstate cancerProstatectomyRobotic surgerySigmoid volvulus

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Area of Science:

  • Urology
  • Gastroenterology
  • Surgical Complications

Background:

  • Robotic-assisted laparoscopic prostatectomy (RALP) is a common procedure for prostate cancer.
  • Postoperative complications typically involve urinary or sexual dysfunction.
  • Gastrointestinal complications are less common but can be severe.

Observation:

  • A 73-year-old male developed severe constipation, obstipation, and abdominal distension 19 days post-RALP.
  • Imaging revealed sigmoid volvulus, initially managed with endoscopic detorsion.
  • The patient experienced recurrence two months later, necessitating a colectomy.

Findings:

  • Sigmoid volvulus is a rare but serious complication following RALP.
  • Potential contributing factors include patient positioning, pneumoperitoneum, and mesenteric mobilization during surgery.
  • This complication has not been previously reported in the literature after RALP.

Implications:

  • Clinicians should maintain a high index of suspicion for sigmoid volvulus in patients presenting with gastrointestinal symptoms post-RALP.
  • Elderly patients with predisposing anatomical factors may be at increased risk.
  • Consideration of intraoperative techniques, such as lateral repair of the sigmoid colon during dissection, may be warranted to prevent recurrence.