Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH.
Surg Laparosc Endosc Percutan Tech. 2021 Jan 12;31(4):475-478. doi: 10.1097/SLE.0000000000000907.
Intraoperative colonoscopy (IOC) is an adjunct in colorectal surgery to detect the location of the lesions and assessing anastomotic integrity. The authors aimed to evaluate the safety and feasibility and postoperative morbidity of IOC in left-sided colectomy patients for colorectal cancer. Patients undergoing elective left-sided colectomy without any proximal diversion for colorectal cancer between 2013 and 2016 were reviewed from the American College of Surgeons National Surgical Quality Improvement Program procedure-targeted database. Demographics, comorbidities, short-term outcomes, and postoperative morbidity of patients were evaluated. A total of 8811 patients were identified and IOC was performed for 1143 (12.97%) patients. There was no significant difference in postoperative complications between the IOC and non-IOC groups. Patients with IOC had shorter total hospital length of stay. The use of IOC does not adversely affect short-term outcomes after colorectal resections. Surgeons may utilize IOC liberally for left-sided colorectal resections.
术中结肠镜检查（IOC）是结直肠外科的辅助手段，用于检测病变部位和评估吻合口完整性。作者旨在评估 IOC 在左半结肠切除术治疗结直肠癌患者中的安全性、可行性和术后发病率。从美国外科医师学会国家外科质量改进计划程序目标数据库中回顾了 2013 年至 2016 年间接受择期左半结肠切除术且无结直肠近端转流的结直肠癌患者。评估了患者的人口统计学、合并症、短期结局和术后发病率。共确定了 8811 例患者，其中 1143 例（12.97%）患者进行了 IOC。IOC 组和非 IOC 组之间的术后并发症无显著差异。IOC 组患者的总住院时间更短。IOC 的使用并不对结直肠切除术后的短期结局产生不利影响。外科医生可以自由地在左半结直肠切除术中使用 IOC。
