LAPAROSCOPIC CLOSURE FOR PERFORATION OF THE SIGMOID COLON BY ENDOSCOPIC LINEAR STAPLER

Immediate open surgery has been recommended for the management of perf oration during colonoscopic examination. Laparoscopic closure for perf oration of the sigmoid colon caused by diagnostic colonoscopy is descr ibed. The perforation site was identified in the antimesenteric border of the sigmoid colon by laparoscopic survey, and four ports were inse rted in the lower abdomen. The margin of the perforation was lifted by two graspers, and the defect was completely closed using an endoscopi c linear stapler, The patient recovered quickly without any associated complications. Postoperative barium enema showed no stenosis or leaka ge. This method is less invasive and allows earlier recovery of patien ts with colonic perforation.