Objective: to compare laparoscopic sigmoid resection with intracorporeal colorectal anastomosis versus open surgery in patients with dolichosigma complicated by sigmoid volvulus. Materials and methods: a retrospective comparative study included 81 patients treated in an emergency surgical setting. The laparoscopic group comprised 41 patients and the open-surgery group 40 patients. Perioperative outcomes, Clavien–Dindo complications and functional results up to 6 months were analyzed. Results: laparoscopy was associated with shorter hospital stay, earlier bowel recovery and lower overall morbidity (22.0% vs 52.5%). Severe complications were observed only after open surgery. Conclusion: laparoscopic sigmoidectomy is a safe and clinically advantageous option for selected patients after decompression and stabilization.

dolichosigma, sigmoid volvulus, laparoscopic sigmoidectomy, overlap anastomosis, emergency abdominal surgery.

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