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Iatrogenic colonic perforation: repair using laparoscopic technique.
Surg Laparosc Endosc Percutan Tech. 2011 Jun; 21(3):170-4.SL

Abstract

BACKGROUND

Iatrogenic colonic perforation is a rare complication of colonoscopies. Nowadays, there are still no specific guidelines for the optimal management of these complications (open surgery with colonic resection and anastomosis or colonic diversion, primary repair, endoscopic clips, nonoperative management, and laparoscopic approach).

METHODS

A retrospective analysis of 9 patients operated on for iatrogenic colonic perforations (February 2002 to August 2009) is reported. These were treated, in 6 cases, with laparoscopic colorrhaphy, in 2 cases with laparoscopic colonic resection and anastomosis (with 1 temporary ileostomy), and the last patient with laparoscopic Hartmann procedure.

RESULTS

All patients underwent successful laparoscopic treatment, with no mortality.

CONCLUSIONS

Laparoscopic treatment of iatrogenic colonic perforations is a compromise between risks of nonoperative therapy and invasive surgery. According to our early experience, laparoscopic approach could be used as first choice in the management of these complications. Further studies are necessary for full validation of this approach.

Links

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Authors+Show Affiliations

Miranda L
Department of General Surgery, Monaldi Hospital via L. Bianchi, Napoli, Italy. lumira@email.it
Settembre A
No affiliation info available
Piccolboni D
No affiliation info available
Capasso P
No affiliation info available
Corcione F
No affiliation info available

MeSH

AgedAged, 80 and overColonColonic DiseasesColonoscopyFemaleFollow-Up StudiesHumansIatrogenic DiseaseIncidenceIntestinal PerforationItalyLaparoscopyLength of StayMaleMiddle AgedReoperationRetrospective StudiesSuture TechniquesTreatment Outcome

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

21654300

Citation

Miranda, Lucia, et al. "Iatrogenic Colonic Perforation: Repair Using Laparoscopic Technique." Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, vol. 21, no. 3, 2011, pp. 170-4.
Miranda L, Settembre A, Piccolboni D, et al. Iatrogenic colonic perforation: repair using laparoscopic technique. Surg Laparosc Endosc Percutan Tech. 2011;21(3):170-4.
Miranda, L., Settembre, A., Piccolboni, D., Capasso, P., & Corcione, F. (2011). Iatrogenic colonic perforation: repair using laparoscopic technique. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, 21(3), 170-4. https://doi.org/10.1097/SLE.0b013e318219a2cf
Miranda L, et al. Iatrogenic Colonic Perforation: Repair Using Laparoscopic Technique. Surg Laparosc Endosc Percutan Tech. 2011;21(3):170-4. PubMed PMID: 21654300.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Iatrogenic colonic perforation: repair using laparoscopic technique. AU - Miranda,Lucia, AU - Settembre,Anna, AU - Piccolboni,Domenico, AU - Capasso,Pietro, AU - Corcione,Francesco, PY - 2011/6/10/entrez PY - 2011/6/10/pubmed PY - 2011/12/13/medline SP - 170 EP - 4 JF - Surgical laparoscopy, endoscopy & percutaneous techniques JO - Surg Laparosc Endosc Percutan Tech VL - 21 IS - 3 N2 - BACKGROUND: Iatrogenic colonic perforation is a rare complication of colonoscopies. Nowadays, there are still no specific guidelines for the optimal management of these complications (open surgery with colonic resection and anastomosis or colonic diversion, primary repair, endoscopic clips, nonoperative management, and laparoscopic approach). METHODS: A retrospective analysis of 9 patients operated on for iatrogenic colonic perforations (February 2002 to August 2009) is reported. These were treated, in 6 cases, with laparoscopic colorrhaphy, in 2 cases with laparoscopic colonic resection and anastomosis (with 1 temporary ileostomy), and the last patient with laparoscopic Hartmann procedure. RESULTS: All patients underwent successful laparoscopic treatment, with no mortality. CONCLUSIONS: Laparoscopic treatment of iatrogenic colonic perforations is a compromise between risks of nonoperative therapy and invasive surgery. According to our early experience, laparoscopic approach could be used as first choice in the management of these complications. Further studies are necessary for full validation of this approach. SN - 1534-4908 UR - https://www.unboundmedicine.com/medline/citation/21654300/Iatrogenic_colonic_perforation:_repair_using_laparoscopic_technique_ L2 - https://doi.org/10.1097/SLE.0b013e318219a2cf DB - PRIME DP - Unbound Medicine ER -