Ischemic colitis is the most common type of intestinal
ischemia. The etiology of this condition is multifactorial, and the diagnosis is based on a combination of clinical symptoms, as well as endoscopic and histological findings. Although
conservative therapy is effective in most cases, surgery still plays a key role in the treatment of
ischemic colitis. Here, we describe a case of a 73-year-old man in whom laparoscopy-assisted left
colectomy was performed 80 d after the onset of
ischemic colitis. He recovered completely after surgery, and the pathological findings were consistent with
ischemic colitis. To the best of our knowledge, there are no detailed reports of laparoscopic surgery for chronic segmental stenotic
ischemic colitis. We discussed the usefulness of laparoscopic surgery, comparing it with endoscopic treatment, and we propose an optimal treatment strategy from a viewpoint of
stenosis length and duration of disease.