Laparoscopic colotomy repair following colonoscopic polypectomy

Ahmet Kilic, Stephen M. Kavic

Research output: Contribution to journalArticlepeer-review

Abstract

Background and Objectives: The unfortunate complication of a colotomy resulting from a colonoscopic polypectomy can be disastrous. Using the versatility of laparoscopic surgery, we aim to provide a treatment algorithm for these colonoscopic perforations. Methods: We report a case of cecal perforation, in a 70 year old female, following colonoscopic polypectomy that was treated successfully with laparoscopic application of an Endo-GIA linear stapler. Results: Four months following staple resection of her cecal perforation, the patient is asymptomatic and has undergone a repeat colonoscopy without any sequelae. Conclusions: Laparoscopic techniques can be safely applied in the treatment of colonic perforations following therapeutic polypectomies. A suggested management algorithm is provided highlighting the role laparoscopy may provide in selected patients.

Original languageEnglish (US)
Pages (from-to)93-96
Number of pages4
JournalJournal of the Society of Laparoendoscopic Surgeons
Volume12
Issue number1
StatePublished - Dec 1 2008
Externally publishedYes

Keywords

  • Colonoscopy
  • Complications
  • Laparoscopy
  • Perforation

ASJC Scopus subject areas

  • Surgery

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