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Robotic‐assisted laparoscopic primary repair of acute iatrogenic colonic perforation: case report
Author(s) -
Pedraza Rodrigo,
Ragupathi Madhu,
Martinez Tara,
Haas Eric M.
Publication year - 2012
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.1447
Subject(s) - medicine , perforation , colonoscopy , sigmoid colon , surgery , laparotomy , laparoscopy , complication , general surgery , colorectal cancer , rectum , materials science , cancer , punching , metallurgy
Abstract Background Colonic perforation during colonoscopy is a rare complication and is usually considered a surgical emergency. Traditionally, such perforations have required laparotomy with repair or resection. Minimally invasive approaches have recently been successfully implemented. We describe our initial experience with a robotic‐assisted laparoscopic technique for primary colorrhaphy following colonoscopic perforation. Methods An 84 year‐old female presented with an acute sigmoid perforation identified during colonoscopy. Laparoscopic exploration revealed a full‐thickness tear into the sigmoid mesentery, which was primarily repaired using robotic‐assisted technique. Results The procedure was successfully completed in 135 min with an estimated blood loss of 25 ml. There were no intraoperative complications or need for open conversion. The patient was discharged after 4 days without further hospitalization or secondary surgical intervention. Conclusion In the presented case, robotic primary colorrhaphy was demonstrated to be a safe and feasible alternative for the management of acute colonoscopic perforation and may warrant consideration in the emergency setting. Copyright © 2012 John Wiley & Sons, Ltd.