지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.87 No.3
- 발행연도
- 2014.8
- 수록면
- 139 - 143 (5page)
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초록· 키워드
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Purpose: Colonoscopy is a safe and commonly used method for the screening of colon cancer, but sometimes major complications, such as, colonic perforation or hemorrhage occur during the procedure. The aim of this study was to compare the surgical outcomes of laparoscopic and open surgery for colon perforation after colonoscopy.
Methods: A retrospective review of patient records was performed on 25 patients with iatrogenic colon perforation during colonoscopy during the 7-year period from January 2005 to June 2012. Demographic data, operative procedures, operation times, postoperative complications, hospital course, and morbidities in the laparoscopic surgery group (LG) and open surgery group (OG) were compared.
Results: Seventeen of the 25 patients underwent laparoscopic surgery (68%) and 8 patients open surgery (32%). The most common surgical methods were primary repair in the LG, and Hartmann’s operation in the OG. Average time to first flatus was 2.9 days in the LG and 4.5 days in the OG, and average times to first meals were 4.5 days and 5 days, respectively. Mean hospital stays were 10.8 days in the LG and 17 days in the OG. After surgery, complications occurred in two patients in the LG, but no complication occurred in the OG.
Conclusion: Laparoscopic repair for iatrogenic colonic perforation during colonoscopy seems to be useful and safe surgical method in early period after perforation. However, open surgery is also needed for the delayed cases after perforation.
Methods: A retrospective review of patient records was performed on 25 patients with iatrogenic colon perforation during colonoscopy during the 7-year period from January 2005 to June 2012. Demographic data, operative procedures, operation times, postoperative complications, hospital course, and morbidities in the laparoscopic surgery group (LG) and open surgery group (OG) were compared.
Results: Seventeen of the 25 patients underwent laparoscopic surgery (68%) and 8 patients open surgery (32%). The most common surgical methods were primary repair in the LG, and Hartmann’s operation in the OG. Average time to first flatus was 2.9 days in the LG and 4.5 days in the OG, and average times to first meals were 4.5 days and 5 days, respectively. Mean hospital stays were 10.8 days in the LG and 17 days in the OG. After surgery, complications occurred in two patients in the LG, but no complication occurred in the OG.
Conclusion: Laparoscopic repair for iatrogenic colonic perforation during colonoscopy seems to be useful and safe surgical method in early period after perforation. However, open surgery is also needed for the delayed cases after perforation.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (20)
참고문헌 신청
1. [학술지(정기간행물)] - Wullstein C. / 1999 / Laparoscopic treatment of colonic perforations related to colonoscopy / Surg Endosc 13 : 484 ~ 487
2. [학술지(정기간행물)] - Luning TH. / 2007 / Colonoscopic perforations : a review of 30, 366 patients / Surg Endosc 21 : 994 ~ 997
3. [학술지(정기간행물)] - Carpio G. / 1989 / Management of colonic perforation after colonoscopy. Report of three cases / Dis Colon Rectum 32 : 624 ~ 626
4. [학술지(정기간행물)] - Bleier JI. / 2008 / Initial repair of iatrogenic colon perforation using laparoscopic methods / Surg Endosc 22 : 646 ~ 649
5. [학술지(정기간행물)] - Miranda L. / 2011 / Iatrogenic colonic perforation : repair using laparoscopic technique / Surg Laparosc Endosc Percutan Tech 21 : 170 ~ 174
2. [학술지(정기간행물)] - Luning TH. / 2007 / Colonoscopic perforations : a review of 30, 366 patients / Surg Endosc 21 : 994 ~ 997
3. [학술지(정기간행물)] - Carpio G. / 1989 / Management of colonic perforation after colonoscopy. Report of three cases / Dis Colon Rectum 32 : 624 ~ 626
4. [학술지(정기간행물)] - Bleier JI. / 2008 / Initial repair of iatrogenic colon perforation using laparoscopic methods / Surg Endosc 22 : 646 ~ 649
5. [학술지(정기간행물)] - Miranda L. / 2011 / Iatrogenic colonic perforation : repair using laparoscopic technique / Surg Laparosc Endosc Percutan Tech 21 : 170 ~ 174
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UCI(KEPA) : I410-ECN-0101-2015-510-002711853