Laparoscopic colectomy for sigmoid volvulus.

Laparoscopic assisted sigmoidectomy was the technique of choice for a mentally retarded adult male with severe seizure disorder and recurrent sigmoid volvulus in an effort to reduce post-op stress and discomfort and thereby diminish the possibility of exacerbation of his seizures. The technique was performed using standard laparoscopic technique and a 5cm incision in the left abdomen to perform extracorporeal bowel anastomosis. The surgery was successful and the patient experienced minimal post op discomfort, no complications and had no seizures. This newest addition to the portfolio of laparoscopic surgical techniques may be a useful tool in high risk or elderly patients who are poor candidates for conventional bowel surgery.