Laparoscopic repair of colonoscopic perforation: a new standard?

Coimbra, Carla; Bouffioux, Laurent; Kohnen, Laurent; Deroover, Arnaud; Dresse, Damien; Denoel, A; Honoré, Pierre; Detry, Olivier

doi:10.1007/s00464-010-1427-x

Cited by 38 publications

(44 citation statements)

References 24 publications

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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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Section: Colorectal Emergenciesmentioning

confidence: 82%

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

et al. 2014

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“…In the laparoscopic era, colorectal surgeons may agree to attempt laparoscopic management of colorectal perforation following colonoscopy, diverticulitis, and anastomotic leakage [9][10][11][12]. The SCANDIV trial showed that laparoscopic lavage for perforated diverticulitis is no better than conventional operations; laparoscopic lavage did not reduce morbidity and had worse outcomes, such as high reoperation rate and missing carcinoma [9].…”

Section: Discussion:-mentioning

confidence: 99%

“…The SCANDIV trial showed that laparoscopic lavage for perforated diverticulitis is no better than conventional operations; laparoscopic lavage did not reduce morbidity and had worse outcomes, such as high reoperation rate and missing carcinoma [9]. Another randomized controlled trial, however, reported that laparoscopic lavage may be an appropriate treatment option, though the condition in question was different [10].…”

Section: Discussion:-mentioning

confidence: 99%

Rectal Perforation After Stapled Hemorrhoidectomy : A Case Report.

Bhagvat¹,

Shetty²,

Aher³

2017

IJAR

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“…Iatrogenic colonic perforation can be treated with segmental laparoscopic resection or with laparoscopic suturing [21]. A new technique was proposed to close iatrogenic colonic perforation with combined endoscopy and laparoscopy approach.…”

Section: Combined Colonoscopy and Laparoscopy To Close Colonic Performentioning

confidence: 99%