Ann Surg Treat Res.  2017 Nov;93(5):284-286. 10.4174/astr.2017.93.5.284.

Single port laparoscopic repair of sigmoid colon perforation during colonoscopy

• Park JH
• Lim SW
• Kim SE
• Kim MJ
• Park HC

• KMID: 2393996
• DOI: http://doi.org/10.4174/astr.2017.93.5.284

Abstract

Colonic perforation during colonoscopy is a rare but lethal complication. Recently, it is usually managed with laparoscopic approach. Here we present our experience of single incision laparoscopic repair for sigmoid colon perforation during colonoscopy. A 57-year-old male patient presented with an acute sigmoid colon perforation event during diagnostic colonoscopy. Emergency operation was performed with transumbilical single incision laparoscopic exploration. The perforated site of sigmoid colon was primarily repaired with the curved endoscopic linear stapler. The patient was discharged after 5 days uneventfully. Single port laparoscopic repair is a safe and feasible method for the management of acute colonoscopic perforation during diagnostic colonoscopy.

Keyword

Colonoscopy; Iatrogenic; Port; Stapler; Laparoscopy

MeSH Terms

Colon
Colon, Sigmoid*
Colonoscopy*
Emergencies
Humans
Laparoscopy
Male
Methods
Middle Aged

Figure

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  Fig. 1 Radiologic findings of tension pneumoperitoneum. (A) Chest PA. (B) Plain abdomen. (C) Abdominopelvic CT, axial view. (D) Abdominopelvic CT, coronal view.

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  Fig. 2 Localization of perforated sigmoid colon and repair with linear stapler. (A) Intraoperative localization of perforation site. (B) After stapler fired.

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  Fig. 3 Abdomen of patient postoperatively. (A) Intraoperative theatre. (B) After drain removal.

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