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Laparoscopic colotomy repair following colonoscopic polypectomy
1Division of General Surgery, University of Maryland Medical Center, Baltimore, Maryland 21201, USA. skavic@smail.umaryland.edu
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.
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