Laparoscopic Repair of Colonic Perforation Associated With Colonoscopy: Use of Passing Sutures and Endoscopic Linear Stapler

Initial repair of iatrogenic colon perforation using laparoscopic methods

“…The rarer perforations caused by undue pressure from the endoscopist or from traction on adhesions can cause larger tears. These injuries often require more extensive repairs, but are often amenable to laparoscopic linear stapling [9,11] All but one of the patients in our series suffered perforation during colonoscopy. The original indications for colonoscopy were not available to us, but data extrapolation indicated that the majority were diagnostic -as such, this reinforces that despite potentially extensive colonic injury, laparoscopic colorraphy is feasible and safe.…”

“…In general, these have been limited to case reports and institutional case series, mostly early in the advent of laparoscopic approaches to colon surgery [8][9][10][11]. Our retrospective review is the largest study to date evaluating efficacy and short-term outcomes of laparoscopic colon repair after injury as compared to case-matched open repairs.…”

Laparoscopic repair of colonoscopic perforation: a new standard?

“…Most of the published reports described one or two successful cases [11][12][13][14][15][16][17][18][19][20][21]. The publications on series of more than five patients [22][23][24][25][26] are presented in Table 4. These series confirmed the same excellent results of laparoscopic management of colonoscopic perforations that we experienced in our study.…”

Laparoscopy in Non-Trauma Abdominal Emergencies

“…Yamamoto et al [13] described an endoscopic stapler closure in five colonoscopic perforations. The size of the perforations ranged from 10 to 50 mm.…”