COLECTOMY FOR SIGMOID VOLVULUS

PURPOSE: Volvulus of the sigmoid carries a high mortality. This minima lly invasive technique is designed for poor-risk patients. TECHNIQUE: Aided by laparoscopy, the mobile sigmoid is exteriorized through a min i-incision without preliminary dissection. The entire resection and an astomosis is performed on the surface of the abdomen. The options of e nd colostomy, primary anastomosis with or without fecal diversion, can all be used with this method. RESULTS: No mortality or leakage occurr ed in four patients. CONCLUSION: This rapid operation does not require advanced laparoscopic skills. Preliminary results should be confirmed by others.