K. Hayashi et al., LAPAROSCOPIC CLOSURE FOR PERFORATION OF THE SIGMOID COLON BY ENDOSCOPIC LINEAR STAPLER, Surgical laparoscopy & endoscopy, 6(5), 1996, pp. 411-413
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.