Athanasiadis S, Barry B A, Gandjii D, Girona J
Zentralbl Chir. 1982;107(13):773-8.
Technique and indications for intraoperative colonoscopy are reviewed. A total retrograde fiberoptic colonoscopy was performed on the unopened bowel at laparotomy in 1135 patients, and a partial colonoscopy (70 to 90 cm) in 1412 patients. Additional polyps were found in 24% of patients with carcinoma of the rectum and colon (n = 1023), in 26% of patients with diverticulitis (n = 112), and 8.3% of patients with proctological diseases (n = 1412). A second carcinoma was found in 3.1% of cases with colonic carcinoma, in 1.8% of cases with diverticulitis, and 0.35% of cases with proctological diseases.
本文回顾了术中结肠镜检查的技术及适应证。对1135例患者在剖腹手术时对未打开的肠管进行了全逆行纤维结肠镜检查，对1412例患者进行了部分结肠镜检查（70至90厘米）。在1023例直肠癌和结肠癌患者中，24%发现了额外的息肉；在112例憩室炎患者中，26%发现了额外的息肉；在1412例直肠疾病患者中，8.3%发现了额外的息肉。在结肠癌病例中，3.1%发现了第二处癌；在憩室炎病例中，1.8%发现了第二处癌；在直肠疾病病例中，0.35%发现了第二处癌。
