Summary
The development and widespread use of the colonic fiberscope has led to the identification of early colonic cancers which, being small and flat, are not palpable by intraoperative examination of the exterior of the intestine. Standard operation for cancer is required when snare polypectomy is insufficient, or when it is considered that the lesions would be resected incompletely by electrocautery. We report on the use of intraoperative colonoscopy in 11 patients to identify small lesions and to maintain an adequate distance from the lesions. Intraoperative colonoscopy allows lesions to be detected rapidly, safe operations, and a decrease in operation time.
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References
Bowden TA, Hooks VH, Mansberger AR (1979) Intraoperative gastrointestinal endoscopy in the management of occult gastrointestinal bleeding. South Med J 72: 1532–1534
Colacchio TA, Forde KA, Scantlebury VP (1981) Endoscopic polypectomy. Ann Surg 194: 704–707
Cranley JP, Petras RE, Carey WD, Paradis K, Sivak MV (1986) When is endoscopic polypectomy adequate therapy for colonic polyps containing invasive carcinoma? Gastroenterology 91: 419–427
Decosse JJ (1984) Malignant colorectal polyp. Gut 25: 433–436
Forde KA (1987) The “malignant colonic polyp”. A critique and opinion. Surg Endosc 1: 55–58
Haggitt RC, Glotzbach RE, Soffer EE, Wruble LD (1985) Prognostic factors in colorectal carcinomas arising adenomas: implications for lesions removed by endoscopic polypectomy. Gastroenterology 89: 328–336
Hermanek P (1987) Invited commentary. Surg Endosc 1: 57–58
Kuramoto S, Oohara T (1988) Minute cancers arising de novo in human large intestine. Cancer 61: 829–834
Lehman GA, Maveety PR, O'Connor KW (1985) Mucosal clipping — utility and safety testing in the colon. Gastrointest Endosc 31: 273–276
Marcozzi G, Montori A (1972) Endoscopy during operation: new diagnostic possibilities. Chir Gastroenterol 6: 23
Martin PJ, Forde KA (1979) Intraoperative colonoscopy: preliminary report. Dis Colon Rectum 22: 234–237
Morson BC, Whiteway JE, Jones EA, Macrae FA, Williams CB (1984) Histopathology and prognosis of malignant colorectal polyps treated by endoscopic polypectomy. Gut 25: 437–444
Muto T, Bussey HJR, Morson BC (1975) The evolution of cancer of the colon and rectum. Cancer 36: 2251–2270
Ponsky JL, King JF (1975) Endoscopic marking of colonic lesions. Gastrointest Endosc 22: 42–43
Poulard JB, Shatz B, Kodner I (1985) Preoperative tattooing of polypectomy site. Endoscopy 17: 84–85
Richter RM, Littman L, Levowitz BS (1973) Intraoperative fiberoptic colonoscopy: localization of nonpalpable colonic lesions. Arch Surg 106: 228
Shibuki S, Yanbe T, Sugawara N, Asaki S, Goto Y, Itoh S, Mochizuki F (1985) Improved method of endoscopic China ink injection — importance and establishment of the methodology (in Japanese with English abstract). Gastroenterol Endosc 27: 71–77
Wolff WI, Shinya H (1975) Definitive treatment of “malignant” polyps of the colon. Ann Surg 182: 516–525
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Kuramoto, S., Ihara, O., Sakai, S. et al. Intraoperative colonoscopy in the detection of nonpalpable colonic lesions — how to identify the affected bowel segment. Surg Endosc 2, 76–80 (1988). https://doi.org/10.1007/BF00704357
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DOI: https://doi.org/10.1007/BF00704357