Rojas DO, Contreras RVR, González AJM, Farrera GJ, Rodríguez DM, Romero MR, Kunz MW, Golffier RC, Baltasar JMC

Language: Spanish
References: 16
Page: 177-180
PDF size: 95.71 Kb.

ABSTRACT

Background: Laparoscopic treatment of hollow viscus perforation is viable, avoiding the complications associated with celiotomies. We review our experience in the laparoscopic approach to acute colonic perforation and we propose it as a feasible therapeutic option in selected patients.
Material and methods: Longitudinal, retrospective, multicentric, descriptive study in third level hospitals in Mexico City from may 1993 to may 2005.
Results: We identified 9 cases: 5 males and 4 females; median age 50 years (range 30-74). The diagnosis was established on clinical grounds and later confirmed during the laparoscopic procedure. Six sigmoid colon perforations due to ruptured diverticula were identified; 1 foreign object perforation and 2 due to penetrating colon wound. The average time of procedure was 40 minutes (range 30-120 minutes). Peritoneal toilette followed by primary single layer closure with polybuthester and oversewn omentum patch were used. We report no mortality or morbidity.
Conclusion: In carefully selected patients, the laparoscopic treatment of acute colonic perforations is feasible and safe.

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