Kuramoto S, Ihara O, Sakai S, Tsuchiya T, Oohara T
Third Department of Surgery, University of Tokyo, Japan.
Surg Endosc. 1988;2(2):76-80. doi: 10.1007/BF00704357.
The development and widespread use of the colonic fiberscope has led to the identification of early colonic cancers which, being small and flat, are not palpable by intraoperative examination of the exterior of the intestine. Standard operation for cancer is required when snare polypectomy is insufficient, or when it is considered that the lesions would be resected incompletely by electrocautery. We report on the use of intraoperative colonoscopy in 11 patients to identify small lesions and to maintain an adequate distance from the lesions. Intraoperative colonoscopy allows lesions to be detected rapidly, safe operations, and a decrease in operation time.
结肠纤维内镜的发展和广泛应用使得早期结肠癌得以被发现，这些早期结肠癌体积小且扁平，通过术中对肠管外部的检查无法触及。当圈套息肉切除术不充分，或者认为病变通过电灼不能完全切除时，就需要进行标准的癌症手术。我们报告了11例患者术中使用结肠镜来识别小病变并与病变保持足够距离的情况。术中结肠镜检查能够快速检测出病变，实现安全手术，并缩短手术时间。
