Laparoscopic repair of colonic perforation associated with colonoscopy: Use of passing sutures and endoscopic linear stapler

Citation
A. Yamamoto et al., Laparoscopic repair of colonic perforation associated with colonoscopy: Use of passing sutures and endoscopic linear stapler, SURG LA E P, 11(1), 2001, pp. 19-21
Citations number
12
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Surgery
Journal title
SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES
ISSN journal
1051-7200 → ACNP
Volume
11
Issue
1
Year of publication
2001
Pages
19 - 21
Database
ISI
SICI code
1051-7200(200102)11:1<19:LROCPA>2.0.ZU;2-8
Abstract
Laparoscopic surgery recently has been conducted to repair colonic perforat ion that is associated with colonoscopy. The authors describe their laparos copic repair of perforation using passing sutures and an endoscopic linear stapler. One 12-mm and several 5-mm trocars were inserted in the lower abdo men under general anesthesia. Observing with a laparoscope, passing sutures were threaded transversely through all layers of the margin of defect and pulled up with forceps to hold the margin straight, along which the defect was stapled with an endoscopic linear stapler. The authors applied this met hod for five patients, where the perforation occurred in the sigmoid colon or in the cecum (perforation size ranging from 10 mm to 50 mm). Perforation was successfully repaired in all patients, with no complications because o f perforation or the procedures. The current method is beneficial because t he perforated lesion is safely and easily closed and postoperative colonic stenosis is avoided.