Article (Scientific journals)
Laparoscopic repair of colonoscopic perforation: a new standard?
Coimbra Marques, Carla; Bouffioux, Laurent; Kohnen, Laurent et al.
2011In Surgical Endoscopy, 25, p. 1514-1517
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Keywords :
colon cancer; diverticulosis; surgery; laparoscopy; emergency; peritonitis; colonoscopy; complications; laparoscopic surgery
Abstract :
[en] BACKGROUND: Scientific evidence demonstrating interest in the laparoscopic approach for surgical repair of colonoscopic perforations is still lacking. The authors retrospectively reviewed the records of 43 patients who suffered from colonic perforations after colonoscopy between 1989 and 2008 in two tertiary centers in order to compare the results of the laparoscopic and the open approaches to repair. METHODS: The patients' demographic data, perforation location, therapy, and outcome were recorded from the medical charts. Forty-two patients were managed operatively (19 laparoscopies and 23 laparotomies). In three patients who underwent explorative laparoscopy, the procedure had to be converted to laparotomy due to surgical difficulties. The patients who underwent laparotomy management had a longer period between the colonoscopy and the surgery (P = 0.056) and more stercoral contaminations. RESULTS: The mean hospital stay was shorter for the laparoscopy group (P = 0.02), which had fewer postoperative complications (P = 0.01) and no mortality (NS). CONCLUSION: This series demonstrates that early laparoscopic management of colonoscopic perforation is safe. Laparoscopic management may lead to reduced surgical and psychological stress for the patient because of its low morbidity and mortality rates and shorter hospital stay. However, the procedure should be converted to a laparotomy if necessary.
Disciplines :
Gastroenterology & hepatology
Surgery
Author, co-author :
Coimbra Marques, Carla ;  Université de Liège - ULiège > Chirurgie abdominale- endocrinienne et de transplantation
Bouffioux, Laurent ;  Centre Hospitalier Universitaire de Liège - CHU > Chirurgie cardio-vasculaire
Kohnen, Laurent ;  Centre Hospitalier Universitaire de Liège - CHU > Chirurgie abdominale- endocrinienne et de transplantation
De Roover, Arnaud ;  Centre Hospitalier Universitaire de Liège - CHU > Chirurgie abdominale- endocrinienne et de transplantation
Dresse, D.
Denoel, A.
Honore, Pierre ;  Centre Hospitalier Universitaire de Liège - CHU > Chirurgie abdominale- endocrinienne et de transplantation
Detry, Olivier  ;  Centre Hospitalier Universitaire de Liège - CHU > Chirurgie abdominale- endocrinienne et de transplantation
Language :
English
Title :
Laparoscopic repair of colonoscopic perforation: a new standard?
Publication date :
April 2011
Journal title :
Surgical Endoscopy
ISSN :
0930-2794
eISSN :
1432-2218
Publisher :
Springer, New York, United States - New York
Volume :
25
Pages :
1514-1517
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 26 October 2010

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