gnckКолопроктологияKoloproktologia2073-75562686-7303Russian Association of Coloproctology10.33878/2073-7556-2025-24-1-62-71gnck-2011Research ArticleКЛИНИЧЕСКИЕ НАБЛЮДЕНИЯCASE REPORTЛечение перфораций толстой кишки после лапароскопического шейвинга эндометриоидных очагов толстой кишки (клиническое наблюдение)Treatment of colon perforations after laparoscopic shaving of endometrioid foci of the colon (case report)https://orcid.org/0000-0001-8522-9792АрутюнянА. С.ArutyunyanA. S.

Арутюнян Анжелика Сергеевна — к.м.н., врачхирург, колопроктолог, научный сотрудник

Author ID:1077406, Scopus Author ID: 57799224700, Researcher ID: MBG-9336-2025

Б. Сухаревская пл., д. 3, г. Москва, 129090, тел.: +7 (909) 931-60-57 

Anzhelika S. Arutyunyan 

Author ID:1077406, Scopus Author ID: 57799224700, Researcher ID: MBG-9336-2025

B. Sukharevskaya sq., 3, Moscow, 129090, tel.: +7 (909) 931-60-57 

polikarpova-e@yandex.ruhttps://orcid.org/0000-0003-1270-5414БлаговестновД. А.YartsevP. A.

Ярцев Петр Андреевич — д.м.н., профессор, руководитель отдела, врач-хирург, врач-онколог

AuthorID: 694865, Researcher ID: P-9151-2017, Scopus Author ID: 55970485700

Б. Сухаревская пл., д. 3, г. Москва, 129090 

ул. Баррикадная, д. 2/1, стр. 1, г. Москва, 125993 

Petr A. Yartsev  

AuthorID: 694865, Researcher ID: P-9151-2017, Scopus Author ID: 55970485700

B. Sukharevskaya sq., 3, Moscow, 129090 

Barrikadnaya st., 2/1, Moscow, 125993 

https://orcid.org/0000-0001-5724-6034ЯрцевП. А.BlagovestnovD. A.

Благовестнов Дмитрий Алексеевич — д.м.н., профессор, декан хирургического факультета; врач-хирург

AuthorID: 553805, Scopus Author ID: 6506459353

Б. Сухаревская пл., д. 3, г. Москва, 129090 

ул. Баррикадная, д. 2/1, стр. 1, г. Москва, 125993 

Dmitry A. Blagovestnov 

AuthorID: 553805, Scopus Author ID: 6506459353

B. Sukharevskaya sq., 3, Moscow, 129090 

Barrikadnaya st., 2/1, Moscow, 125993 

https://orcid.org/0009-0000-1170-7317КарулинН. В.KarulinN. V.

Карулин Николай Всеволодович — ординатор учебного отдела

Researcher ID:MBH-0067–2025

Б. Сухаревская пл., д. 3, г. Москва, 129090 

Nikolai V. Karulin 

Researcher ID:MBH-0067–2025

B. Sukharevskaya sq., 3, Moscow, 129090 

ГБУЗ «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского ДЗМ»РоссияN.V. Sklifosovsky Research Institute of Emergency Care of the Department of Health of the City of MoscowRussian FederationГБУЗ «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского ДЗМ» ; ФГБОУ ДПО «Российская медицинская академия непрерывного последипломного образования» Минздрава РоссииРоссияN.V. Sklifosovsky Research Institute of Emergency Care of the Department of Health of the City of Moscow ; Russian Medical Academy of Continuous Professional EducationRussian Federation2025210320252416271Copyright © Арутюнян А.С., Благовестнов Д.А., Ярцев П.А., Карулин Н.В., 20252025Арутюнян А.С., Благовестнов Д.А., Ярцев П.А., Карулин Н.В.Arutyunyan A.S., Yartsev P.A., Blagovestnov D.A., Karulin N.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.ruproctology.com/jour/article/view/2011

Описан клинический случай лечения пациентки Д., 24 лет с перфорациями толстой кишки и распространенным каловым перитонитом после лапароскопического шейвинга экстрагенитальных очагов сигмовидной и прямой кишки.Данный клинический случай демонстрирует возможность применения лапароскопического метода при перфорации толстой кишки и распространенном перитоните. Снижение объема хирургической агрессии способствовало ранней реабилитации пациентки и не сопровождалось осложнениями. Применение программной санационной релапароскопии при абдоминальном сепсисе допустило возможность избежать формирования лапаростомы, что в дальнейшем позволило выполнить реконструктивное вмешательство также лапароскопическим методом.

A clinical case of treatment of a 24-year-old patient D. with perforations of the colon and widespread fecal peritonitis after laparoscopic shaving of extragenital foci of the sigmoid and rectum is described. This clinical case demonstrates the possibility of using the laparoscopic method for colon perforation and advanced peritonitis. Reducing the volume of surgical aggression it contributed to the early rehabilitation of the patient and was not accompanied by complications. The use of programmatic sanitation laparoscopy in abdominal sepsis made it possible to avoid the formation of laparostoma, which later allowed reconstructive surgery to be performed using the laparoscopic method.

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The authors declare that there are no conflicts of interest present.