Miyahara M, Kitano S, Shimoda K, Bandoh T, Chikuba K, Maeo S, Kobayashi M
Department of Surgery I, Oita Medical University, Japan.
Surg Endosc. 1996 Mar;10(3):352-3. doi: 10.1007/BF00187391.
A patient who sustained a colonic perforation during therapeutic colonoscopy was treated successfully by laparoscopic repair. Laparoscopy was performed 5 h after polypectomy. Fecal matter was not identified in the peritoneal cavity. Local peritonitis was mild. The laceration was oversewn with five sutures using the extracorporeal endoscopic knot technique. The appendix epiploica was then anchored over the lesion. The postoperative recovery was rapid and uneventful. Laparoscopic surgery may become a useful tool for the safe, effective, and minimally invasive management of iatrogenic colonic perforation.
一名在治疗性结肠镜检查期间发生结肠穿孔的患者通过腹腔镜修复成功治愈。息肉切除术后5小时进行了腹腔镜检查。腹腔内未发现粪便。局部腹膜炎较轻。使用体外内镜打结技术用五针缝合了撕裂伤。然后将网膜阑尾固定在病变上方。术后恢复迅速且顺利。腹腔镜手术可能成为医源性结肠穿孔安全、有效且微创管理的有用工具。
