The Role of Intraoperative Colonoscopy in Patients with Left Side Colon Cancer Obstruction / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
;
: 113-117, 2004.
Article
in Korean
| WPRIM
| ID: wpr-34277
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, MF=3032) 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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Polyps
/
Rectum
/
Colon, Sigmoid
/
Colonoscopy
/
Colectomy
/
Colon
/
Colonic Neoplasms
/
Colon, Descending
/
Seoul
Limits:
Humans
Country/Region as subject:
Asia
Language:
Korean
Journal:
Korean Journal of Gastrointestinal Endoscopy
Year:
2004
Type:
Article
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