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- Title
Feasibility and Safety of Intraoperative Colonoscopy after Segmental Colectomy and Primary Anastomosis.
- Authors
SIMMERMAN, ERIKA L.; KING, RAY S.; HAM III, P. BENSON; HOOKS III, VENDIE H.
- Abstract
Patients presenting with near-obstructing colon lesions requiring segmental colectomy may benefit from intraoperative colonoscopy (IOC) after primary anastomosis for a more timely and accurate diagnosis of synchronous lesions. The aim of this study is to demonstrate the feasibility and safety of this technique. A retrospective cohort study of patients undergoing single-stage segmental colectomy and anastomosis at a single tertiary care institution from 2011 to 2013 was performed. One Hundred and sixty-eight consecutive patients underwent segmental colectomy and primary anastomosis of which 78 (46%) were unable to receive preoperative colonoscopy (POC) because of near-obstructing lesions and received IOC after the anastomosis. IOC detected synchronous adenomatous polyps in 24.4 per cent, diverticular disease in 19 per cent, and colitis/ proctitis in 2.5 per cent. The IOC group was not significantly different from the POC group with regard to overall morbidity (31% vs 39% P 5 0.45), anastomotic leakage (1.3% vs 0%, P 5 0.46), or wound infection (5.1% vs 1.1%, P 5 0.18). Operation time was 19 minutes longer in the intraoperative group, but overall length of hospital stay was not significantly different (6.4 6 2.9 days vs 7.3 6 4.6 days). In patients unable to receive POC because of partial obstruction, IOC after primary anastomosis is both feasible and safe for detecting proximal synchronous lesions.
- Subjects
COLONOSCOPY; COLECTOMY; COLON surgery; COLON cancer; MEDICAL care
- Publication
American Surgeon, 2018, Vol 84, Issue 7, p1175
- ISSN
0003-1348
- Publication type
Article
- DOI
10.1177/000313481808400733