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INTRODUCTION
Colonic perforation during colonoscopy is a rare but lethal complication. Recently, it is usually managed with laparoscopic approach [1234]. The minimal invasive laparoscopic technique has benefits such as less incision length, less postoperative pain, faster recovery, and reduced postoperative hospital stay [5]. Here we present our experience of single incision laparoscopic repair for sigmoid colon perforation during colonoscopy.
METHODS
A 57-year-old male presented with an acute sigmoid colon perforation event during diagnostic colonoscopy. Endoscopic clipping repair was tried and emergency operation was per-formed with urgent identification of surgical abdomen com-bined with diffuse pneumoperitoneum on abdominopelvic com puted tomography (Fig. 1).
RESULTS
Transumbilical single incision laparoscopic exploration using glove port with 3 trocar channels (Sejong Medical Co., Paju, Korea) revealed a full-thickness tearing of the sigmoid colon which was primarily repaired with single firing of curved endo-scopic linear stapler (ECHELON FLEX, ENDOPATH, Ethicon, Somerville, NJ, USA) introduced via transumbilical port (Fig. 2). The suture line was checked intraluminally and acceptable patency without stenosis was found during intraoperative colonoscopy. No air or water leakage was noted.
The operation time was 55 minutes. There were no intra-operative complications, need for additional trocars, or open con version. A closed suction drain was applied into the left para colic gutter via transumbilical incision (Fig. 3). The patient was discharged after 5 days uneventfully (Supplementary material). Written informed consent was obtained from the patient.
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