The Role of Intraoperative Colonoscopy in Patients with Left Side Colon Cancer Obstruction.
- Author:
Sung Mok KIM
1
;
Jun Hwan KIM
;
Byung Ik JANG
;
Tae Nyeun KIM
;
Moon Kwan CHUNG
;
Jae Hwang KIM
Author Information
1. Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea. jbi@med.yu.ac.kr
- Publication Type:Original Article
- Keywords:
Intraoperative;
Colonoscopy;
Synchronous;
cancer;
Single stage operation
- MeSH:
Colectomy;
Colon*;
Colon, Descending;
Colon, Sigmoid;
Colonic Neoplasms*;
Colonoscopy*;
Humans;
Polyps;
Rectum;
Seoul
- From:Korean Journal of Gastrointestinal Endoscopy
2004;28(3):113-117
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND/AIMS: The aim of this study was to evaluate the role of an intraoperative colonoscopy for a single stage operation in patients with a left-side colon cancer obstruction. METHODS: From September 1999 to August 2002, 62 patients (mean age=61+/-14 year old, M:F=30:32) underwent an intraoperative colonoscopy during a single stage operation for a left side colon cancer. Intraoperative colonic irrigation method and colonoscopy with NICI (new intraoperative colonic irrigator, MITech Co., Ltd, Seoul, Korea) were used. RESULTS: The locations of the left-side colon cancers were the rectum in 33 (53.2%), sigmoid colon in 20 (32.3%), and descending colon in 9 (14.5%). Synchronous polyps were found in 31 patients (50%). Six patients (9.7%) had a synchronous colon cancer and 2 (3.2%) had a high grade dysplasia. Of these 62 patients, 11 (17.7%) required more extensive surgery than dictated by the primary tumor. Altered operative methods were a total colectomy in 2 patients, an extended resection in 8 patients, and a wedge resection in 1 patient. CONCULSIONS: An intraoperative colonoscopy in patients with a left-side colon cancer is a useful adjunct in diagnosing a synchronous lesions, which should allow a more appropriate surgical procedure.
