Initial repair of iatrogenic colon perforation using laparoscopic methods

Bleier, Joshua I. S.; Moon, Victor; Feingold, Daniel L.; Whelan, Richard L.; Arnell, Tracy; Sonoda, Toyooki; Milsom, Jeffrey W.; Lee, S. W.

doi:10.1007/s00464-007-9429-z

Cited by 66 publications

(75 citation statements)

References 13 publications

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“…Most of the published reports described one or two successful cases [11][12][13][14][15][16][17][18][19][20][21]. The publications on series of more than five patients [22][23][24][25][26] are presented in Table 4. These series confirmed the same excellent results of laparoscopic management of colonoscopic perforations that we experienced in our study.…”

Section: Discussionmentioning

confidence: 97%

Laparoscopic repair of colonoscopic perforation: a new standard?

et al. 2010

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Section: Discussionmentioning

confidence: 97%

Laparoscopic repair of colonoscopic perforation: a new standard?

et al. 2010

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“…Most patients with CP require open surgery; however, there is recent evidence that CP can be successfully managed by endoluminal repair [6] and laparoscopic surgery [8][9][10][11] . To the best of our knowledge, there is no published literature about CP from any World Gastroenterology Organization (WGO) Endoscopy Training Center.…”

Section: Management and Outcomesmentioning

confidence: 99%

Colonoscopic perforation: A report from World Gastroenterology Organization endoscopy training center in Thailand

Lohsiriwat¹,

Sujarittanakarn²,

Akaraviputh³

et al. 2008

WJG

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AIM:To determine the incidence of colonoscopic perforation (CP), and evaluate clinical findings, management and outcomes of patients with CP from the World Gastroenterology Organization (WGO) Endoscopy Training Center in Thailand. METHODS: All colonoscopies and sigmoidoscopies performed between 1999 and 2007 in the Endoscopic unit, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok were reviewed. Incidence of CP, patients' characteristics, endoscopic information, intraoperative findings, management and outcomes were analyzed. RESULTS: A total of 17 357 endoscopic procedures of the colon (13 699 colonoscopies and 3658 flexible sigmoidoscopies) were performed in Siriraj hospital over a 9-year period. Fifteen patients (0.09%) had CP: 14 from colonoscopy and 1 from sigmoidoscopy. The most common site of perforation was in the sigmoid colon (80%), followed by the transverse colon (13%). Perforations were caused by direct trauma from either the shaft or the tip of the endoscope (n = 12, 80%) and endoscopic polypectomy (n = 3, 20%). All patients with CP underwent surgical management: primary repair (27%) and bowel resection (73%). The mortality rate was 13% and postoperative complication rate was 53%. CONCLUSION: CP is a rare but serious complication following colonoscopy and sigmoidoscopy, with high rates of morbidity and mortality. Incidence of CP was 0.09%. Surgery is still the mainstay of CP management.

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“…The role of laparoscopy in colonic perforation caused by colonoscopy has been reported mainly as case reports or case series involving less than 20 patients [39][40][41][42]. These studies have confirmed the excellent results of laparoscopic surgery regarding reduced morbidity, mortality and hospital stay ( Table 1).…”

Section: Colorectal Emergenciesmentioning

confidence: 82%

Laparoscopic Surgery in Luminal Gastrointestinal Emergencies—a Review of Current Status

et al. 2014

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Laparoscopy has already established itself as the preferred surgical approach in a variety of elective surgical conditions. Along with its usual advantages of less tissue trauma and faster recovery, its diagnostic as well as therapeutic role is making it an attractive option in emergency surgery. In this paper, we have reviewed the current status of laparoscopic surgery in luminal gastrointestinal emergencies. Relevant papers were selected using Medline database from 2007 to the present. These were reviewed, and outcomes were stated under the headings of appendicitis, perforated peptic ulcer, colorectal emergencies and small bowel obstruction. The laparoscopic intervention was found to be of clear benefit in most of the patients with appendicitis. Its role, however, is not absolutely clear in managing perforated peptic ulcers. Laparoscopic lavage and drainage have been recommended in diverticular perforation with limited contamination. Small case series and studies have shown benefits of laparoscopic surgery in iatrogenic colonic perforations, colonic obstruction, emergency colectomy and small bowel obstruction. Laparoscopic surgery can be recommended in appendicitis and lowrisk cases of perforated peptic ulcers. Its definitive role in other conditions needs more evidence. The surgeon's experience and careful patient selection are very important to improve the outcome.

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Initial repair of iatrogenic colon perforation using laparoscopic methods

Cited by 66 publications

References 13 publications

Laparoscopic repair of colonoscopic perforation: a new standard?

Laparoscopic repair of colonoscopic perforation: a new standard?

Colonoscopic perforation: A report from World Gastroenterology Organization endoscopy training center in Thailand

Laparoscopic Surgery in Luminal Gastrointestinal Emergencies—a Review of Current Status

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