Saclarides T J, Wolff B G, Pemberton J H, Devine R M, Nivatvongs S, Dozois R R
Section of Colon and Rectal Surgery, Mayo Clinic, Rochester, Minnesota 55905.
Dis Colon Rectum. 1989 Oct;32(10):864-6. doi: 10.1007/BF02554557.
Since 1982, intraoperative colonoscopy has been performed on 66 patients. Preoperative intent was to perform a colonoscopic polypectomy during an intra-abdominal procedure in 44 patients, localize lesions that might subsequently lead to either colon resection or colotomy and polyp excision in 13, localize bleeding sites in 4, determine the extent of inflammatory bowel disease in 2, survey the colon in 2 who did not have preoperative colon radiography, and assess bowel viability in 1. Surgery proceeded as planned in 54 patients; however, colonoscopic findings extended the resection to include additional segments of bowel in 4. In four patients, polypectomy or bowel resection was avoided as a result of the colonoscopic findings. Intraoperative colonoscopy was not possible in four patients. No complications were related directly to this procedure. Intraoperative colonoscopy is a useful adjunct for localizing lesions or "clearing" the colon. In some patients, colonoscopic findings may change the extent of resection performed.
自1982年以来，已对66例患者实施了术中结肠镜检查。术前计划在44例患者的腹腔内手术期间进行结肠镜息肉切除术，在13例患者中定位可能随后导致结肠切除或结肠切开及息肉切除的病变，在4例患者中定位出血部位，在2例患者中确定炎症性肠病的范围，在2例未进行术前结肠造影的患者中检查结肠，以及在1例患者中评估肠管活力。54例患者按计划进行了手术；然而，结肠镜检查结果使切除范围扩大，包括另外的肠段，共4例。由于结肠镜检查结果，4例患者避免了息肉切除或肠切除。4例患者无法进行术中结肠镜检查。没有并发症直接与该操作相关。术中结肠镜检查是定位病变或“清理”结肠的有用辅助手段。在一些患者中，结肠镜检查结果可能会改变所进行的切除范围。
