Perforation of a hollow viscus is an emergency which should prompt a rapid and effective treatment. Open surgery has been considered the standard approach, but the use of laparoscopy for diagnostic purposes and treatment in favorable circumstances and locations appears to be a safe alternative with a number of advantages. Indications and contraindications, which depend on the nature of the disease, the duration of the perforation and the location, are discussed in detail. Copyright 2002, Elsevier Science (USA). All rights reserved.
Lee FY, Leung KL, Lai BS, et al: Predicting mortality and morbidity of patients operated on for perforated peptic ulcers. Arch Surg136:90-94, 2001
2.
Mularski RA, Sippel JM, Osborne ML: Pneumoperitoneum: A review of nonsurgical causes. Crit Care Med28:2638-2644, 2000
3.
Mezghebe HM, Leffall LD, Jr., Siram SM, et al: Asymptomatic pneumoperitoneum diagnostic and therapeutic dilemma . Am Surg60:691-694, 1994.
4.
Matsuda M., Nishiyama M., Hanai T., et al: Laparoscopic omental patch repair for perforated peptic ulcer . Ann Surg221:236-240, 1995
5.
Katkhouda N. , Mavor E.; Mason RJ, et al: Laparoscopic repair of perforated duodenal ulcers: outcome and efficacy in 30 consecutive patients. Arch Surg134:845-850, 1999
6.
Memon MA, Fitztgibbons RJ, Jr: The role of minimal access surgery in the acute abdomen. Surg Clin N Am77:1333-1353, 1997
7.
Navez B., Tassetti V., Scohy JJ, et al: Laparoscopic management of acute peritonitis. Br J Surg85:32-36, 1998
8.
Struthers AD , Cuschieri A.: Cardiovascular consequences of laparoscopic surgery. Lancet352:568-570, 1998
9.
Robertson GS , Wemyss-Holden SA, Nladdern GJ: Laparoscopic repair of perforated peptic ulcers. The role of laparoscopy in generalised peritonitis . Ann Royal Coll Surg Engl82:6-10, 2000
10.
Bloechle C. , Emmermann A., Strate T., et al: Laparoscopic vs open repair of gastric perforation and abdominal lavage of associated peritonitis in pigs. Surg Endosc12:212-218, 1998
11.
Bloechle C. , Kluth D., Holstein AF, et al: A pneumoperitoneum perpetuates severe damage to the ultrastructural integrity of parietal peritoneum in gastric perforation-induced peritonitis in rats. Surg Endosc13:683-688, 1999
12.
Lau JY, Lo SY, Ng EK, et al: A randomized comparison of acute phase response and endotoxemia in patients with perforated peptic ulcers receiving laparoscopic or open patch repair. Am J Surg175:325-327, 1998
13.
Watkins RM, Dennison AR, Collin J.: What has happened to perforated peptic ulcer?Br J Surg71:774-776, 1984
14.
Sebastian M. , Chandran VP, Elashaal YI, et al: Helicobacter pylori infection in perforated peptic ulcer disease. BrJ Surg82:360-362, 1995
15.
Tokunaga Y. , Hata K., Ryo J., et al: Density of Helicobacter pylori infection in patients with peptic ulcer perforation. J Am Coll Surg186:659-663, 1998
16.
Chua CL, Jeyaraj PR, Low CH: Relative risks of complications in giant and nongiant gastric ulcers . Am J Surg164:94-97, 1992
17.
Crofts TJ, Park KG, Steele RJ, et al: A randomized trial of nonoperative treatment for perforated peptic ulcer. N Engl J Med320:970-973, 1989
Jamieson GG : Current status of indications for surgery in peptic ulcer disease. World J Surg24:256-258, 2000
20.
Jordan PH, Jr., Thornby J.: Perforated pyloroduodenal ulcers. Long-term results with omental patch closure and parietal cell vagotomy. Ann Surg221:479-488, 1995
21.
Lee FY, Leung KL, Lai PB, et al: Selection of patients for laparoscopic repair of perforated peptic ulcer. Br J Surg88:133-136, 2001
22.
Lau WY, Leung KL, Kwong KH, et al: A randomized study comparing laparoscopic versus open repair of perforated peptic ulcer using suture or sutureless technique. Ann Surg224:131-138, 1996
23.
Millat B., Fingerhut A., Borie F.: Surgical treatment of complicated duodenal ulcers: Controlled trials . World J Surg24:299-306, 2000
24.
Khoursheed M. , Fuad M., Safar H., et al: Laparoscopic closure of perforated duodenal ulcer. Surg Endosc14 :56-58, 2000
25.
Druart ML, Van Hee R., Etienne J., et al: Laparoscopic repair of perforated duodenal ulcer. A prospective multicenter clinical trial. Surg Endosc11:1017-1020, 1997
26.
Singh K., Chhina RS, Ghosh A., et al: Impact of ranitidine on prognosis after simple closure of perforated duodenal ulcer. Tropical Gastroenterol20:90-92, 1999
27.
Ng EK, Lam YH, Sung JJ, et al: Eradication of Helicobacter pylori prevents recurrence of ulcer after simple closure of duodenal ulcer perforation: Randomized controlled trial. Ann Surg231:153-158, 2000
28.
Arrillaga A. , Sosa JL, Najjar R.: Laparoscopic patching of crack cocaine-induced perforated ulcers. Am Surg62: 1007-1009, 1996
29.
Murayama KM , Johnson TJ, Thompson JS: Laparoscopic gastrostomy and jejunostomy are safe and effective for obtaining enteral access. Am J Surg172:591-594, 1996
30.
Tan W., Rajnakova A., Kum CK, et al: Evaluation of percutaneous endoscopic gastrostomy in a university hospital. Hepato-Gastroenterol45:2060-2063, 1998
31.
Gutt CN, Held S., Paolucci, V., et al: Experiences with percutaneous endoscopic gastrostomy. World J Surg20: 1006-8; discussion 1108-9; 1996
32.
Anderson JH , Hole D., McArdle CS: Elective versus emergency surgery for patients with colorectal cancer. Br J Surg79:706-709, 1992
33.
Kriwanek S. , Armbruster C., Dittrich K., et al: Perforated colorectal cancer. Dis Colon Rectum39:1409-1414, 1996
34.
The Standards Task Force: Practice parameters for the treatment of sigmoid diverticulitis. Dis Colon Rectum43:289-296, 2000
35.
Kockerling F.: Laparoscopic resection of sigmoid diverticulitis: Results of a multicenter study. Surg Endosc13:567-571, 1999
36.
Franklin ME , Jr., Dorman JP, Jacobs M., et al: Is laparoscopic surgery applicable to complicated colonic diverticular disease? Surg Endosc11:1021-1025, 1997
37.
Faranda C., Barrat C., Catheline JM, et al: Two-stage laparoscopic management of generalized peritonitis due to perforated sigmoid diverticula: Eighteen cases. Surg Lap Endosc10:135-141, 2000
38.
O'Sullivan GC, Murphy D., O'Brien MG, et al: Laparoscopic management of generalized peritonitis due to perforated colonic diverticula . Am J Surg171:432-434, 1996
39.
Carraro PG, Segala M., Orlotti C., et al: Outcome of large-bowel perforation in patients with colorectal cancer. Dis Colon Rectum41:1421-1426, 1998
40.
Nelson H., Petrelli N., Carlin A., et al: Guidelines 2000 for colon and rectal cancer surgery. J Natl Cancer Inst93: 583-596, 2001
41.
Okada M., Konishi F., Sakuma K., et al: Perforation of the sigmoid colon with ischemic change due to polyarteritis nodosa. J Gastroenterol34:400-404, 1999
42.
Greenstein AJ, Barth JA, Sachar DB, et al: Free colonic perforation without dilatation in ulcerative colitis. Am J Surg152:272-275, 1986
43.
Heppell J., Farkouh E., Dube S., et al: Toxic megacolon. An analysis of 70 cases. Dis Colon Rectum29:789-792, 1986
44.
Kaiser AM, Beart RW: Surgical management of ulcerative colitis. Swiss Med Wkly131:323-337, 2001
45.
Dafnis G., Ekbom A., Pahlman L., et al: Complications of diagnostic and therapeutic colonoscopy within a defined population in Sweden. Gastrointest Endosc54:302-309, 2001
46.
Anderson ML , Pasha TM, Leighton JA: Endoscopic perforation of the colon: Lessons from a 10-year study. Am J Gastroenterol95:3418-3422, 2000
47.
Tran DQ, Rosen L., Kim R., et al: Actual colonoscopy: What are the risks of perforation?Am Surg67:845-848, 2001
Farley DR, Bannon MP, Zietlow SP, et al: Management of colonoscopic perforations. Mayo Clin Proc72:729-733, 1997
50.
Yamamoto A. , Ibusuki K., Koga K., et al: Laparoscopic repair of colonic perforation associated with colonoscopy: Use of passing sutures and endoscopic linear stapler. Surg Lap Endosc11:19-21, 2001
51.
Wullstein C. , Koppen M., Gross E.: Laparoscopic treatment of colonic perforations related to colonoscopy. Surg Endosc13:484-487, 1999
52.
El-Banna M. , Abdel-Atty M., El-Meteini M., et al: Management of laparoscopic-related bowel injuries. Surg Endosc14:779-782, 2000
53.
Bishoff JT, Allaf ME, Kirkels W., et al: Laparoscopic bowel injury: Incidence and clinical presentation . J Urol161: 887-890, 1999
