We report on five male patients with sigmoid volvulus treated by lapar
oscopy-assisted sigmoid colectomy. Intraoperative colonic irrigation w
as used in two patients prior to resection and primary anastomosis. An
intracorporeal technique of bowel anastomosis was used that allowed s
maller skin incisions as compared with the extracorporeal technique. A
ll five patients recovered uneventfully, and most were discharged with
in 1 week after the operation. There was no recurrence at the conclusi
on of the follow-up. Laparoscopy-assisted sigmoid colectomy may prove
to be the procedure of choice in patients with sigmoid volvulus.