Laparoscopic perforostomy for treating a delayed colonoscopic perforation: Novel approach

Area of Science:

• Gastroenterology
• Minimally Invasive Surgery
• Colorectal Surgery

Background:

• Bowel cancer screening programs detect more polyps, increasing risks of perforation during hot biopsies or resections.
• Colonoscopic perforations often require laparoscopic assessment and repair, carrying a risk of suture line leaks.

Observation:

• A case of delayed colonoscopic perforation was managed using a novel laparoscopic exteriorization technique.

Findings:

• The laparoscopic perforostomy approach resulted in successful resolution of the perforation without further intervention.
• This minimally invasive technique allows for a single-stage procedure, including thorough cleaning, defunctioning, and diversion.

Implications:

• Laparoscopic perforostomy presents a viable, minimally invasive alternative for managing colonoscopic perforations.
• This approach may reduce complications associated with traditional surgical repair of bowel perforations.