Korean J Gastrointest Endosc > Volume 28(3); 2004 > Article
Korean Journal of Gastrointestinal Endoscopy 2004;28(3): 113-117.
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;28:113⁣117)
Key Words: Intraoperative, Colonoscopy, Synchronous, cancer, Single stage operation
주요어: 수술 중 대장내시경, 동시성 암, 단단계 수술법
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