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Table 1 Demographics and peri-operative outcome measures of the included studies comparing laparoscopic vs. open surgery for iatrogenic colonoscopy perforations

From: Laparoscopic vs. open surgery for the treatment of iatrogenic colonoscopic perforations: a systematic review and meta-analysis

Author, Year

n

Technique (n)

Age mean (range)

Gender

(M/F)

Colonoscopy

(D:T)a

Site of perforationb

Surgical Techniquec

Conversion (%)

Mean OT, min (range)

Morbidity (%)

Reoperation (%)

Mortality (%)

Mean LOS, days (sd), range

Bleier et al. 2008 [40]

18

Lap (11)

70 (20–91)

2/9

n/a

n/a

S 11

0 (0)

104 (29)e

2 (18.1)

0

0

5.1 (1.7)

Open (7)

68 (36–87)

3/4

S 7

98 (31)e

5 (71.4)

0

0

9.2 (3.1)

Rotholtz et al. 2010 [26]

20

Lap (14)

60.1 (n.a)

5/9

8:6

D/S 17

S 1 (DO 1); R 13 (DO 1)

1/14 (7.1)

n/a

3 (15)

0

0

4.2 (2.06)

Open (6)

62.6 (n.a)

2/4

3:3

S 1 (DO 1); R5 (O 1)

n/a

5 (83.3)

1 (16.6)

0

11.5 (8,8)

Coimbra et al. 2011 [25]

39

Lap (16)

62.6 (4)d

9/7

11:5

S 15; O 1

S 14; R 1; O 1

3/19 (15.7)

n/a

2 (12.5)

0

0

10.1 (2.2)d

Open (23)

67.6 (2.7)d

11/12

17:6

S 15; O 8

S 7; R 9; O 7

n/a

12 (52.1)

1 (4.3)

2

(8.7)

16.6 (1.6)d

Schloricke et al. 2013 [38]

36

Lap (24)

68f (35–91)

14/10

9:15

R 4; S 13; D 3; T 1; C 3

S 5; R 19

4/24 (16.6)

165f (90–420)

6 (25)

0

1

(4.2)

11 (6–28)

Open (12)

76f (48–89)

5/7

3:9

S 7; D 3; C 2

S 7; R 5

105f (35–180)

8 (66.6)

3 (25)

1

(4.3)

14.5 (7–40)

Kim et al. 2014 [39]

25

Lap (17)

63.5 (46–78)

8/9

n/a

RSJ 3; S 11; SDJ 2; D 1

S 14; R 3

0/17 (0)

161.2 (120–270)

2 (11.7)

1 (5.8)

0

10.8 (6–28)

Open (8)

57.6 (43–79)

4/4

RSJ 1; S 4; SDJ 1; D 1; C 1

S 3 (DO 1); R 5 (O 2)

190 (150–240)

0

0

0

17 (8–48)

Shin et al. 2016 [37]

23

Lap (8)

64,4 (11.9)e

7/1

4:4

R 3; S 9; D 4; T 1; A 6

S 5; W3

1/9 (11.1)

n/a

n/a

0

0

8.6 (2.9)

Open (15)

58.7 (11.4)f

5/10

7:8

S 11; W 3; O 1

n/a

n/a

1 (6.7)

0

14.7 (3.5)

TOTAL (sum (%) or weighted mean)

161

Lap 90

64.87

45/45

32:30

R 7; S 74; O 9; D 29; T 2; C 6; RSJ 4; SDJ 3; A 6

S 50 (55%); R 36 (40%);

O 1 (1%); W 3 (4%)

9/94 (10.44)

150.85

15/82 (18)

1 (1)

1 (1)

9.47

Open 71

65.62

30/41

30:26

S 36 (51%); R 24 (34%);

O 8 (11%); W 3 (4%)

128.37

30/56 (54)

6 (8)

3 (4)

15.48

  1. OT stands for operative time, LOS for length of stay, n/a for not available or not applicable
  2. aColonoscopy (D:T) = Diagnostic : Therapeutic
  3. bSite of perforation: R = Rectum; RSJ = Rectosigmoid junction; S = Sigmoid; D = Descending colon; SDJ = Sigmoid-descending junction; T = Transverse colon; A = Ascending colon; C = Caecum; O = Other
  4. cSurgical technique: S = Suture; R = Colonic resection; W = Wedge resection; O = Ostomy; DO = Diverting Ostomy
  5. d = Standard Error
  6. e = Standard Deviation
  7. f = Median
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World Journal of Emergency Surgery

ISSN: 1749-7922