Intraoperative colonoscopy in patients with colorectal cancer

Brullet, Enric; Montane, Josep M.; Bombardó, J.; Bonfill, Xavier; Nogué, Miquel; Bordas, Josep M.

doi:10.1002/bjs.1800791246

Cited by 29 publications

(18 citation statements)

References 33 publications

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“…Tumor stenosis of the Table 3 Treatment of synchronous lesions 1 Dual procedure were performed for some patients, therefore, the sum exceeds the total number of patients.…”

Section: Discussionmentioning

confidence: 99%

“…The association of synchronous adenomatous polyps in colon cancer has been reported to be 15%-50% and synchronous cancer as high as 2%-10% [1][2][3][4] . A routine preoperative colonoscopy has been recommended for patients diagnosed with colorectal cancer in order to identify synchronous polyps and/or cancer, that otherwise might have remained undetected at the time of the surgery [5] .…”

Section: Introductionmentioning

confidence: 99%

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Detection and treatment of synchronous lesions in colorectal cancer: The clinical implication of perioperative colonoscopy

Kim

Park²

2007

WJG

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AIM:To evaluate the clinical significance of preand intra-operative colonoscopy for the detection of synchronous lesions in colon cancer. METHODS:Two hundred and sixty-five pre-operative and 51 intra-operative colonoscopic evaluations were performed in 316 colorectal cancer patients who underwent curative resection from January 2001 to June 2006. The incidence and characteristics of synchronous lesions and their influence on surgery were evaluated. RESULTS:Two hundred and eighty-two synchronous lesions were detected in 124 (39.2%) of 316 patients including all lesions regardless of their histologic type. True adenomatous polyps were found in 91 (28.8%) of 316 patients, and 17 (5.4% of all patients) patients had synchronous colon cancers. The preoperative identification of synchronous lesions altered the planned surgery in 37 (14.0%) of 265 patients. In 18 patients among the surgically removed cases, the lesions were removed by extending the resection range. Further segmental resection or polypectomy through enterotomy was necessary in 19 patients. Nineteen (37.2%) of 51 intraoperative colonoscopy cases had synchronous lesions. Additional surgical procedures including segmental bowel resection and polypectomy with enterotomy were necessary in 7 (13.7%) of 51 intraoperative colonoscopy cases to remove the lesions.

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“…Tumor stenosis of the Table 3 Treatment of synchronous lesions 1 Dual procedure were performed for some patients, therefore, the sum exceeds the total number of patients.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Detection and treatment of synchronous lesions in colorectal cancer: The clinical implication of perioperative colonoscopy

Kim

Park²

2007

WJG

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“…Langevin and Nvatvongs reported presence of adenomatous polyps in intraoperational colonoscopy in 28.25% of patients, while Cohen and Forde in 13% of examined patients (11,12). In a group of a Chinese scientist -Huang et al, the presence of adenomatous polyps was stated in 31.03%, and group of Spanish surgeons, supervised by Brullet, diagnosed polyps during intraoperational colonoscopy in 36% of examined patients (10,13).…”

Section: Discussionmentioning

confidence: 98%

“…When Vamosi-Nagy et al analysed the Hungarian material based on 31 intraoperational colonoscopies, he changed the extent of resection in 6% of patients (18). Brullet et al stated that scheduled extent of the procedure was altered in 9% of patients (10). Korean group of researchers, managed by Park, extended the scope of surgical procedure towards the result of intraoperational colonoscopy in 17% of patients (19).…”

Section: Discussionmentioning

confidence: 99%

Intraoperative Colonoscopy in Obstructing Colon Cancer

Rembiasz

Kostarczyk

Matłok

et al. 2009

Polish Journal of Surgery

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The aim of the study was to present our experience with the use of intraoperative colonoscopy in patients with obstructing colon cancer in whom complete preoperative colonoscopy was not possible. Material and methods. We treated 480 patients with colon cancer from 2002 to 2008 in our department. In 80 patients (28 female and 52 male) we performed intraoperative colonoscopy due to obstructing colon cancer. Mean age of female patients was 67.8 yrs. (35-84 yrs.) and mean age of male patients was 66.5 yrs. (38-81 yrs.). In all of the patients preoperative complete colonoscopy was not possible. Results. Thanks to intraoperative colonoscopy we revealed new synchronous cancer lesions in 7 patients (8.75%) and therefore we extended the operation. In 28 patients (35%) we revealed polyps which, in 24 (85.7%) cases, were removed endoscopically and in 4 cases we decided to extend the operation. Conclusions. Intraoperative colonoscopy is effi cient method in diagnosis of colon cancer especially in patients with obstructing colon cancer. Thanks to intraoperative colonoscopy patients with synchronous lesions may benefi t from detection of lesions and avoid further operation.

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“…[7][8][9][10][11][12][13] Interestingly, when compared by stage, no statistically significant difference has been found in the overall and disease-free survival between synchronous and primary cancers.…”

Section: Introductionmentioning

confidence: 99%