Summary
From 1987 to 1991, we performed intraoperative colonoscopy on 66 patients as a result of the following indications: the air leakage test (53%), detection of a previous malignant polypectomy site (20%), inability to complete preoperative colonoscopy (17%), detection of the source of intestinal bleeding (4%), and detection of impalpable colonic lesions (4%).
Intraoperative colonoscopy was successful in 61/66 patients and provided information that altered the planned operation in 10 of 61 completely examined patients. The air leakage test proved useful in detecting subclinical anastomotic leaks.
The indications for intraoperative colonoscopy have been expanded, and this procedure is often useful when one is attempting to decide on the appropriate surgical strategy for patients.
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References
Beard JD, Nicholson ML, Sayers RD, Lloyd D, Everson NW (1990) Intraoperative air testing of colorectal anastomoses: a prospective randomized trial. Br J Surg 77: 1095–1097
Cohen J, Forde KA (1988) Intraoperative colonoscopy. Ann Surg 207: 231–233
Espiner HJ, Salmon PR, Teague RH, Read AE (1973) Operative colonoscopy. Br Med J 1: 453–454
Gilbert JM, Trapnell JE (1988) Intraoperative testing of the integrity of left-sided colorectal anastomoses: a technique of value to the surgeon in training. Ann R Coll Surg Engl 70: 158–160
Kaibara N, Kimura O, Nishidoi H, Miyano Y, Koga S (1982) Intraoperative colonoscopy for the diagnosis of multiple cancers of the large intestine. Jpn J Surg 12: 117–121
Kanazawa T, Tanaka M (1965) Endoscopy of the colon. Gastroenterol Endosc 7: 398–400
Kremen AJ (1945) Acute colonic obstruction secondary to carcinoma of the sigmoid colon with gangrene of an extensive segment of the large bowel. Surgery 18: 335–338
Kusunoki M, Sakanoue Y, Yanagi H, Utsunomiya J (1991) Intraoperative air testing of colorectal anastomoses. Br J Surg 78: 249
Martin PG, Forde KA (1979) Intraoperative colonoscopy. Dis Colon Rectum 22: 234–236
Oshiba S, Watanabe A (1965) Endoscopy of the colon. Gastroenterol Endosc 7: 400–404
Richter RM, Littman L, Levowitz BS (1973) Intraoperative fiberoptic colonoscopy. Arch Surg 106: 228
Sakanoue Y, Kusunoki M, Shoji Y, Yamamura T, Utsunomiya J (1990) The efficacy of whole gut irrigation with polyethylene glycol electrolyte solution in elective colorectal surgery for cancer. Acta Chir Scand 156: 463–466
Scott HJ, Lane IF, Glynn MJ, Theodorou NA, Pavies EL, Reynolds KW, Parkins RA (1986) Colonic hemorrhage: a technique for rapid intraoperative bowel preparation and colonoscopy. Br J Surg 73: 390–391
Whelan RL, Buls JG, Goldberg SM, Rothenberger DA (1989) Intraoperative endoscopy. Am Surg 55: 281–286
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Sakanoue, Y., Nakao, K., Shoji, Y. et al. Intraoperative colonoscopy. Surg Endosc 7, 84–87 (1993). https://doi.org/10.1007/BF00704383
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DOI: https://doi.org/10.1007/BF00704383