Abstract:

Aim: Colonoscopy is the most commonly used diagnostic tool for screening for colorectal cancer in asymptomatic individuals and for surveillance in patients with a history of colonic disease. The procedure has several drawbacks, including acute colon perforation. As elderly individuals with aging immune systems frequently respond inadequately to physiologic stress, this life-threatening complication requires meticulous management in this patient cohort. We aimed to evaluate a minimally invasive surgical approach to iatrogenic colon perforation (ICP) in this vulnerable age group.Material and Methods: This is a retrospective study. We reviewed data from all patients ≥ 65 years of age diagnosed with iatrogenic colon perforation (ICP) between January 2012 and June 2019 at Gaziosmanpaşa University Hospital. Results: Seventeen cases of ICP were identified (mean age was 76.5 years); 16 patients were treated surgically and one was managed conservatively. The most frequent site of perforation was the sigmoid colon (58.8%) and surgical management was primarily laparoscopic (93.7%). Twelve of the 16 patients who were managed with surgical intervention underwent laparoscopic primary repair and three patients underwent laparoscopic colectomy due to a primary diagnosis of colorectal malignancy. One patient with delayed diagnosis underwent laparotomy and proctosigmoidectomy (Hartmann procedure); this patient did not survive beyond the immediate post-operative period.Conclusion: Our findings suggest that early recognition is critical for the successful treatment of ICP in the elderly. Most patients respond well to a minimally invasive laparoscopic approach. This approach can be considered for large perforations and is safe and effective when carried out by an experienced surgeon. Downloads Download data is not yet available. Article Details How to Cite Dagmura, H., Daldal, E., Bakir, H., Akbas, A., Dasiran, F., & Okan, I. (2021). Minimally invasive surgery for the management of iatrogenic colon perforation in the elderly . Annals of Medical Research, 27(10), 2713–2718. Retrieved from https://annalsmedres.org/index.php/aomr/article/view/991 More Citation Formats ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver Download Citation Endnote/Zotero/Mendeley (RIS) BibTeX Issue Volume 27 Issue 10 (2020): October Section Original Articles CC Attribution-NonCommercial-NoDerivatives 4.0

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