Abstract
Although laparoscopic gastropexy has recently been established as a minimally invasive technique for gastric volvulus, it is technically difficult. We report two cases of gastric volvulus that were repaired laparoscopically with two different techniques. First case was an organoaxial rotation of the stomach in a thin elderly man whose body mass index was 16. His abdominal wall was so thin that three proper locations of the abdominal skin were incised and the gastric anterior wall was sewn from outside of the abdomen through the incisions in the pneumoperitomeum condition. Threads were tied outside the abdomen and knots were buried in the incisions. The second case was an elderly woman who presented with a mesenteroaxial rotation of the stomach. The gastric anterior wall was sutured laparoscopically. The ends of threads were pulled out the abdomen using an Endoclose TM needle through the small skin incisions. Threads were tied outside the abdomen and knots were buried in the incisions. These techniques were superior in the following points. First, it is easier than laparoscopic suturing. Second, it provides a clear field of vision and the special relationship between the stomach, the abdominal wall and the threads can be confirmed when the threads are tied.
