Volvulus of the sigmoid carries a high mortality. This minimally invasive technique is designed for poor-risk patients.Aided by laparoscopy, the mobile sigmoid is exteriorized through a mini-incision without preliminary dissection. The entire resection and anastomosis is performed on the surface of the abdomen. The options of end colostomy, primary anastomosis with or without fecal diversion, can all be used with this method.No mortality or leakage occurred in four patients.This rapid operation does not require advanced laparoscopic skills. Preliminary results should be confirmed by others.