The intraoperative use of flexible gastrointestinal endoscopes holds significant value for patients and surgeons alike. At its extreme, intraoperative endoscopy serves as the platform that allows for performance of novel procedures like natural orifice surgery, and endoluminal procedures such as transoral fundoplication and gastric volume reduction. While the appeal of performing advanced futuristic procedures may promote an interest in using flexible gastrointestinal endoscopes in the operating room for some surgeons, it is the use of these devices during routine operations on the gastrointestinal tract that will immediately and positively impact patient care.
KeywordsCommon Bile Duct Common Bile Duct Stone Mechanical Bowel Preparation Common Bile Duct Exploration Wireless Capsule Endoscopy
Intraoperative colonoscopy after laparoscopic anterior resection of the rectum with ultra-low coloanal anastomosis. The author’s gloved finger is seen at the anal os, followed by creation of a transanal stapled anastomosis. Note gentle colonic insufflation with carbon dioxide, endoscopic inspection of the anastomosis, and underwater leak testing. A diverting ileostomy was placed despite favorable endoscopic findings, to address the risks inherent in ultra-low anastomoses, and those related to malignancy, radiation, and chemotherapy (MPEG 45186 kb)
- 29.Rabago LR, Vicente C, Soler F, et al. Two-stage treatment with preoperative endoscopic retrograde cholangiopancreatography (ERCP) compared with single-stage treatment with intraoperative ERCP for patients with symptomatic cholelithiasis with possible choledocholithiasis. Endoscopy. 2006;38(8):779–86.PubMedCrossRefGoogle Scholar