Laparoscopic Sigmoid Colectomy with Natural Orifice Specimen Extraction in Sigmoid Volvulus


ATAMANALP S. S.

Eurasian Journal of Medicine, vol.56, no.2, pp.142-145, 2024 (ESCI, Scopus, TRDizin) identifier identifier identifier identifier

  • Publication Type: Article / Review
  • Volume: 56 Issue: 2
  • Publication Date: 2024
  • Doi Number: 10.5152/eurasianjmed.2024.24420
  • Journal Name: Eurasian Journal of Medicine
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.142-145
  • Keywords: elective treatment, laparoscopic sigmoid colectomy, natural orifice specimen extraction, Sigmoid volvulus
  • Ataturk University Affiliated: Yes

Abstract

Sigmoid volvulus (SV), the twisting of the sigmoid colon around its own base, is a relatively rare colonic obstruction form. Endoscopic detorsion is the first-line management option in uncomplicated patients. However, recurrence risk is as high as 90%, with a risk of mortality up to 35%. Although procedures such as sigmoidopexy, sigmoidomesopexy, sigmoidomesoplasty, extraperitonealization, or percutaneous endoscopic sigmoidopexy may prevent or reduce SV recurrence, laparoscopic sigmoid colectomy with natural orifice specimen extraction appears to be the optimal choice in selected cases.