title: Comparison of the surgical outcomes of laparoscopic versus open surgery for colon perforation during colonoscopy.
abstract: OBJECTIVE
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Gachon University School of Medicine, Incheon, Korea.
authors.forename: Jeongsoo
authors.initials: J
authors.lastname: Kim
authors.affiliation: Department of Surgery, Gachon University Gil Medical Center, Gachon University Shcool of Medicine, Incheon, Korea.
authors.forename: Gil Jae
authors.initials: GJ
authors.lastname: Lee
authors.affiliation: Department of Surgery, Gachon University Gil Medical Center, Gachon University Shcool of Medicine, Incheon, Korea.
authors.forename: Jeong-Heum
authors.initials: JH
authors.lastname: Baek
authors.affiliation: Department of Surgery, Gachon University Gil Medical Center, Gachon University Shcool of Medicine, Incheon, Korea.
authors.forename: Won-Suk
authors.initials: WS
authors.lastname: Lee
keywords: Colonoscopy; Intestinal perforation; Laparoscopy