𝔖 Bobbio Scriptorium
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Intraoperative colonoscopy in patients with colorectal cancer

✍ Scribed by Dr E. Brullet; J. M. Montané; J. Bombardó; X. Bonfill; M. Noguè; J. M. Bordas

Publisher
John Wiley and Sons
Year
1992
Tongue
English
Weight
309 KB
Volume
79
Category
Article
ISSN
0007-1323

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✦ Synopsis

lntraoperative colonoscopy in patients w i t h colorectal cancer

Sixty-seven patients underwent intraoperative colonoscopy during elective surgery for colorectal cancer. Complete examination of the colon was achieved in 65 patients (97 per cent), albeit with insertion through a colotomy in three ( 4 per cent). A synchronous carcinoma was found in six patients (9per cent), which necessitated a change ofplanned surgical procedure. Synchronous polyps were detected and removed in 24 patients (36 per cent); two had polyps with carcinoma in situ. The mean age of patients with synchronous carcinoma was signijicantly higher than that of those without (74.1 versus 61.2 years, P = 0-02).

Intraoperative colonoscopy took a mean of 1Smin surgical time and only two minor complications (serosal lacerations) were encountered. In patients with colorectal cancer, intraoperative colonoscopy allows complete assessment of the colon and identijies synchronous lesions.

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