| 좌측 폐쇄성 대장암 환자에서 수술 중 대장내시경 검사의 유용성 |
| 김성목·김준환·장병익·김태년·정문관·김재황* |
| 영남대학교 의과대학 내과학교실, *외과학교실 |
| The Role of Intraoperative Colonoscopy in Patients with Left Side Colon Cancer Obstruction |
| Sung Mok Kim, M.D., Jun Hwan Kim, M.D., Byung Ik Jang, M.D., Tae Nyeun Kim, M.D., Moon Kwan Chung, M.D. and Jae Hwang Kim, M.D.* |
| Departments of Internal Medicine and *Surgery, Yeungnam University College of Medicine, Daegu, Korea |
|
|
|
|
| Abstract |
|
Background/Aims:
The aim of this study was to evaluate the role of an intraoperative colonoscopy for a single stage operation in patients with a left-side colon cancer obstruction.
Methods:
From September 1999 to August 2002, 62 patients (mean age=61⁑14 year old, M：F=30：32) underwent an intraoperative colonoscopy during a single stage operation for a left side colon cancer. Intraoperative colonic irrigation method and colonoscopy with NICI (new intraoperative colonic irrigator, MITech Co., Ltd, Seoul, Korea) were used.
Results:
The locations of the left-side colon cancers were the rectum in 33 (53.2%), sigmoid colon in 20 (32.3%), and descending colon in 9 (14.5%). Synchronous polyps were found in 31 patients (50%). Six patients (9.7%) had a synchronous colon cancer and 2 (3.2%) had a high grade dysplasia. Of these 62 patients, 11 (17.7%) required more extensive surgery than dictated by the primary tumor. Altered operative methods were a total colectomy in 2 patients, an extended resection in 8 patients, and a wedge resection in 1 patient.
Conclusions:
An intraoperative colonoscopy in patients with a left-side colon cancer is a useful adjunct in diagnosing a synchronous lesions, which should allow a more appropriate surgical procedure. (Korean J Gastrointest Endosc 2004;28:113117) |
| Key Words:
Intraoperative, Colonoscopy, Synchronous, cancer, Single stage operation |
| 주요어:
수술 중 대장내시경, 동시성 암, 단단계 수술법 |
|
|
PDF Links
Full text via DOI 
Download Citation 
