role of intraoperative colonoscopy in the management of patients with colorectal cancer

Thirty patients underwent intraoperative colonoscopy during elective surgery for colorectal cancer. Complete examination of the colon was achieved in 29 patients [96.6%]. In two patients [6.6%] The colonoscope was inserted via colotomy to complete the examination. A synchronous carcinoma was found in four patients [13.3%] which necessitated a change of planned surgical procedure. Synchronous polyps were detected in two patients [66%] one of them had carcinoma in situ, they were removed endoscopically. The mean age of patients with synchronous carcinoma was significantly higher than that of those without [63.5 versus 51.3 years, P < 0.05]. Intraoperative colonoscopy took a mean of 15 minutes and serosal tear occurred in only one patient. Intraoperative colonoscopy allows complete assessment of the colon and localizes synchronous lesions in patients with colorectal cancers

Laparoscopic cholecystectomy missed lesions

One hundred and forty five cases underwent or were reviewed after laparoscopic cholecystectomy for calcular cholecystitis in our department of general surgery at Ein Shams University between 1992 and the end of 1994. Four cases, had post-operative haematemesis from a missed duodenal ulcer. One case had a missed carcinoma of the transverse colon and one case had a missed hepatocellular carcinoma. One case had a missed chronic duodenal ulcer which had penetrated into the pancreas

Needle localisation biopsies of the breast

Thirty seven eases of needle localisation biopsy were performed in our departments revealing the advantages of this technique. The accuracy of localisation has been checked. There were nine malignant lesions and the rest were benign [75%]. All the malignant eases were discovered at a very early stage and this has been proved by other studies to have a definite positive effect on survival and cure rate