Clinical outcomes of laparoscopic versus open surgery for repairing colonoscopic perforation: a multicenter study
- PDF / 600,228 Bytes
- 8 Pages / 595.276 x 790.866 pts Page_size
- 71 Downloads / 221 Views
ORIGINAL ARTICLE
Clinical outcomes of laparoscopic versus open surgery for repairing colonoscopic perforation: a multicenter study Jae Seok Lee1 · Jeong Yeon Kim2 · Byung Mo Kang3 · Sang Nam Yoon4 · Jun Ho Park5 · Bo Young Oh6 · Jong Wan Kim2 Received: 18 May 2020 / Accepted: 12 July 2020 © Springer Nature Singapore Pte Ltd. 2020
Abstract Purpose We conducted this study to compare the perioperative outcomes of laparoscopic surgery (LS) vs. open surgery (OS) for repairing colonoscopic perforation, and to evaluate the possible predictors of complications. Method We reviewed the medical records of patients who underwent surgical repair of colonoscopic perforation by LS or OS between January 2005 and June 2019 at six Hallym University-affiliated hospitals. Multivariable analysis was performed to identify the predictors of postoperative complications. Results Of the total 99 patients, 40 underwent OS and 59 underwent LS. The postoperative hospital stay and the time to resuming a soft diet were shorter in the LS group than in the OS group (P = 0.017 and 0.026, respectively). The complication rate and Clavien–Dindo classification were not significantly different between the two groups. Multivariable analysis revealed that an American Society of Anesthesiologists score (ASA) ≥ 3 and switching from non-operative management to surgical treatment were independently associated with complications (P = 0.025 and 0.010, respectively). Conclusion LS may be a safe alternative to OS for repairing colonoscopic perforation with a shorter postoperative hospital stay and time to resuming a soft diet. Patients with an ASA score ≥ 3 and those with changes to their planned treatment should be monitored carefully to minimize their risk of complications. Keywords Colonoscopy · Laparoscopy · Intestinal perforation
Introduction * Jong Wan Kim [email protected] 1
Department of Surgery, Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Republic of Korea 420‑767
2
Department of Surgery, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, 40, Sukwoo‑Dong, Hwaseong‑Si, Gyeonggi‑Do, Republic of Korea 445‑170
3
Department of Surgery, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon Si, Republic of Korea 200‑950
4
Department of Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, 948‑1, 1, Shingil‑ro, Yeongdeungpo‑gu, Seoul, Republic of Korea 150‑950
5
Department of Surgery, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, 445 Gil‑1‑dong, Gangdong‑gu, Seoul, Republic of Korea 134‑701
6
Department of Surgery, Hallym Sacred Heart Hospital, Hallym University College of Medicine, Anyang Si, Republic of Korea 445‑907
Colonoscopy is performed widely for the screening and diagnosis of colorectal diseases. In recent years, colonoscopy has been used increasingly for therapeutic purposes, including colon endoscopic mucosal resection and endoscopic submucosal dissection [1]. One of the most serious comp
Data Loading...
