[Iatrogenic colon perforation: experiences with early laparoscopy].
BACKGROUND
Perforation during colonoscopy is a rare but severe complication.


METHODS
Retrospective analysis was done of 15 patients operated on for perforation from colonoscopy between January 2000 and December 2006.


RESULTS
Three perforations occurred during diagnostics and 12 during interventional colonoscopy. Two perforations occurred as transmural thermal injury to the colon wall. Peritonitis was found in four cases and correlated significantly with mean time between perforation and operation. Twelve perforations were sutured laparoscopically and three by laparotomy. Hospital stay was significantly shorter after laparoscopic treatment than by laparotomy. One patient had a postoperative wound infection, and mortality was 0%.


CONCLUSIONS
Early laparoscopic suturing is a safe and effective method in the treatment of perforation from colonoscopy.
Rumstadt
B
B
Chirurgische Klinik, Diakoniekrankenhaus Mannheim, Mannheim, Germany. b.rumstadt@diako-ma.de
Schilling
D
D
D000368:Aged; D000369:Aged, 80 and over; D003108:Colonic Diseases / Q000601:surgery*; D003113:Colonoscopy / Q000009:adverse effects; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D007416:Intestinal Perforation / Q000601:surgery*; D010535:Laparoscopy; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000601:surgery; D012189:Retrospective Studies; D012810:Sigmoid Diseases / Q000175:diagnosis / Q000601:surgery; D013536:Suture Techniques; D016896:Treatment Outcome