The first case report of reduced port surgery for preoperatively diagnosed intestinal malrotation in an adult
نویسندگان
چکیده
A 31-year-old Japanese man with chronic abdominal pain underwent laparoscopic surgery using both a single port and 2.4-mm needle forceps for a preoperatively diagnosed intestinal malrotation. Abdominal findings revealed a twisted mesenteric pedicle; it also revealed that the right-side colon was not fused to the retroperitoneum and that both the transverse colon and the mesocolon were adhered to the second portion of the duodenum. After a Ladd procedure following resolution of the volvulus, the second portion of the duodenum was fixed to the retroperitoneum with four absorbable sutures in order to prevent recurrence. The operation was completed laparoscopically without additional ports. Reduced port surgery was recently developed in order to establish not only minimally invasive surgery but also better cosmetic results. Intestinal malrotation in adults is a rare disease and this is the first case report of reduced port surgery for the management of preoperatively diagnosed intestinal malrotation.
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