Laparoscopic repair of colonoscopic perforation: a new standard?
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).


CONCLUSIONS
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.
Department of Abdominal Surgery and Transplantation, CHU de Liège, Sart Tilman B35, 4000, Liège, Belgium.
Carla
C
Coimbra
Laurent
L
Bouffioux
Laurent
L
Kohnen
Arnaud
A
Deroover
Damien
D
Dresse
Albert
A
Denoël
Pierre
P
Honoré
Olivier
O
Detry
D000368:Aged; D003106:Colon / Q000293:injuries*; D003113:Colonoscopy / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology / Q000601:surgery*; D010535:Laparoscopy / Q000009:adverse effects; D007813:Laparotomy / Q000009:adverse effects; D007902:Length of Stay; D008297:Male; D008875:Middle Aged