Intraoperative Fiberoptic Colonoscopy

Richter, R.; Littman, Leon; Levowitz, Bernard S.

doi:10.1001/archsurg.1973.01350140084024

Cited by 40 publications

(11 citation statements)

References 1 publication

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“…It is possible to locate the site of a tumor or a resected polypectomy site by performing intraoperative colonoscopy [6,18,19]. The role of this procedure in detecting the source of gastrointestinal bleeding, completing an incomplete preoperative colonoscopic examination [19], and evaluating low rectal lesions is often irreplaceable [12].…”

Section: Discussionmentioning

confidence: 99%

Safety of preoperation endoscopic tattoo with india ink for identification of colonic lesions

1999

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Section: Discussionmentioning

confidence: 99%

Safety of preoperation endoscopic tattoo with india ink for identification of colonic lesions

1999

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“…Many of these tumors are not visible or palpable to the surgeon [9]. Thus, the precise preoperative localization of such tumors is crucial.…”

Section: Discussionmentioning

confidence: 99%

“…Only in cases in which a polyp has already been removed may the barium enema not contribute. In these instances, one must rely on intraoperative flexible colonoscopy [9,12] or preoperative endoscopic dyeing of the lesion or base of the removed polyp with India ink [11]. The latter method has been helpful in several recent cases.…”

Section: Discussionmentioning

confidence: 99%

Problems in the colonoscopic localization of tumors: Continued value of the barium enema

Frager

Wolf

et al. 1987

Gastrointest Radiol

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Six patients in whom errors of diagnosis and therapy occurred because of reliance on colonoscopic tumor localization are presented. Three of the patients required a second laparotomy for surgical resection of a tumor that was missed at the first exploration. While endoscopy is regarded as the diagnostic gold standard, there are problems in its use for colonoscopic localization. Reliance on distance measurements may be misleading. Anatomical variants can be confusing. For this reason, a preoperative barium enema for precise delineation and localization of tumors is recommended. When a barium enema is not feasible, such as when a malignant polyp has been removed endoscopically, preoperative endoscopic localization with injection of India ink or intraoperative colonoscopy must be performed.

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“…In the early 1970s, endoscopists published sporadic reports of intraoperative colonoscopy . Although the continued advancement in the quality of the instrumentation has led to a redefinition of the indications, it has been limited to large‐bowel emergencies, particularly in left‐sided‐obstructing colon tumours where the dilated proximal colon is loaded with increased amount of faeces, which could prevent recognition of the synchronous lesions in the lumen by palpation during operation.…”

Section: Introductionmentioning

confidence: 99%

Intraoperative underwater colonoscopy with a laparoscope following in‐sleeve on‐table colonic irrigation in obstructed left colon

Büyükgebiz

2013

Surgical Practice

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Aim:The aim of the present study was to describe intraoperative underwater colonoscopy (IUC) and recommend the use of this new technique in emergency settings for the management of acute left-sided colonic obstruction. Patients and Methods: IUC was performed with a laparoscope attached to a video-camera system after in-sleeve, on-table colonic irrigation. The colon was transected proximally to the tumour, and a nylon camera drape was sutured tightly to the proximal colonic end. Following colonic irrigation, the washout was stopped, and IUC was accomplished by introducing a laparoscope into the bowel. Finally, the laparoscope was withdrawn and formal surgery was performed. Results: IUC was successfully used in nine patients who underwent emergency colon surgery; eight patients had colonic obstructions due to adenocarcinomas, and one patient had colonic perforation. IUC revealed three synchronous lesions in the obstructed colonic segments which one of them was an adenocarcinoma in three patients. Another patient had a polyp located distally to the tumour, which was determined preoperatively. Primary resection and stapling anastomosis were performed in all cases. Postoperative complications were atelectasis and delay of intestinal motility in two patients; both recovered well. There was no complication due to IUC or primary operation; for example, anastomotic leakage or wound infection. During the follow up, one patient died 10 months after primary operation due to a cardiac event. Conclusion: IUC following in-sleeve, on-table irrigation is safe and quick to perform, and enables the assessment of colonic mucosa with good visibility. This method was found to be helpful to perform intraoperative colonoscopy when indicated in the emergency surgery of the obstructed left-sided colon when conventional endoscopy was not available at the theatre.

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Intraoperative Fiberoptic Colonoscopy

Cited by 40 publications

References 1 publication

Safety of preoperation endoscopic tattoo with india ink for identification of colonic lesions

Safety of preoperation endoscopic tattoo with india ink for identification of colonic lesions

Problems in the colonoscopic localization of tumors: Continued value of the barium enema

Intraoperative underwater colonoscopy with a laparoscope following in‐sleeve on‐table colonic irrigation in obstructed left colon

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