World Journal of Laparoscopic Surgery

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VOLUME 18 , ISSUE 1 ( January-April, 2025 ) > List of Articles

CLINICAL TECHNIQUE

Use of Rigid Laparoscope for Intraoperative Bowel Endoscopy: An Easy and Novel Technique

Ashok Kumar, Alister J Victor, Nalinikanta Ghosh

Keywords : Laparoscopy, Obscure bleeding, Peroperative enteroscopy

Citation Information : Kumar A, Victor AJ, Ghosh N. Use of Rigid Laparoscope for Intraoperative Bowel Endoscopy: An Easy and Novel Technique. World J Lap Surg 2025; 18 (1):53-55.

DOI: 10.5005/jp-journals-10033-1573

License: CC BY-NC 4.0

Published Online: 16-12-2024

Copyright Statement:  Copyright © 2025; The Author(s).


Abstract

Aim: The aim of reporting this technique is to demonstrate the new surgical method and its feasibility. Background: Intraoperative bowel endoscopy (IOBE) is a salvage technique when conventional and advanced endoscopic techniques, video capsule endoscopy (VCE), and radiological imaging fail. Conventional IOBE requires the use of a flexible endoscope and the need for a skilled endoscopist, leading to the requirement of extra manpower and costs. Hence, there is a need for alternative easy-to-perform techniques. Technique: An intestinal clamp is applied distally. The bowel is opened, and a 30-degree 10 mm rigid laparoscope is inserted along with 10 French infant feeding tubes for air insufflation and irrigation. The laparoscope is maneuvered as required. Conclusion: Intraoperative bowel endoscopy by rigid laparoscope can be easily done by most surgeons due to its easy availability and easy learning curve. It plays an important role in the evaluation of the bowel for various indications. Clinical significance: Here, we have described an easy-to-do and novel technique that can be done by the operating surgeon with basic laparoscopic skills.

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  1. Richter RM, Littman L, Levowitz BS. Intraoperative fiberoptic colonoscopy. Localization of nonpalpable colonic lesions. Arch Surg 1973;106(2):228. DOI: 10.1001/archsurg.1973.01350140084024.
  2. Rondonotti E, Villa F, Mulder CJ, et al. Small bowel capsule endoscopy in 2007: Indications, risks and limitations. World J Gastroenterol 2007;13(46):6140–6149. DOI: 10.3748/wjg.v13.i46.6140.
  3. Gerson LB, Fidler JL, Cave DR, et al. ACG clinical guideline: Diagnosis and management of small bowel bleeding. Am J Gastroenterol 2015;110(9):1265–1287. DOI: 10.1038/ajg.2015.246.
  4. Lanthaler M, Biebl M, Mittermair R, et al. Intraoperative colonoscopy for anastomosis assessment in laparoscopically assisted left-sided colon resection: Is it worthwhile? J Laparoendosc Adv Surg Tech A 2008;18(1):27–31. DOI: 10.1089/lap.2007.0058.
  5. Stefanou S, Stefanou C, Tepelenis K, et al. Use of laparoscopic equipment for colonoscopy intraoperatively in case of lack of colonoscope. J Surg Case Rep 2019;2019(6):rjz176. DOI: 10.1093/jscr/rjz176.
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