Full-text resources of PSJD and other databases are now available in the new Library of Science.
Visit https://bibliotekanauki.pl


Preferences help
enabled [disable] Abstract
Number of results
2009 | 81 | 12 | 635-640

Article title

Intraoperative Colonoscopy in Obstructing Colon Cancer


Title variants

Languages of publication



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 efficient method in diagnosis of colon cancer especially in patients with obstructing colon cancer. Thanks to intraoperative colonoscopy patients with synchronous lesions may benefit from detection of lesions and avoid further operation.








Physical description


1 - 12 - 2009
25 - 1 - 2010


  • 2 Department of General Surgery, Collegium Medicum Jagiellonian University, Cracow
  • 2 Department of General Surgery, Collegium Medicum Jagiellonian University, Cracow
  • 2 Department of General Surgery, Collegium Medicum Jagiellonian University, Cracow
  • 2 Department of General Surgery, Collegium Medicum Jagiellonian University, Cracow
  • 2 Department of General Surgery, Collegium Medicum Jagiellonian University, Cracow
  • Department of Chemotherapy, University Hospital, Cracow


  • Pox C, Schmiegel W: Colorectal screening in Germany. Z Gastroenterol 2008; 46 Suppl. 1: S31-32.
  • Reguła J, Rupiński M, Kraszewska E, et al.: Colonoscopy in colorectal-cancer screening for detection of advanced neoplasia. N Engl J Med 2006; 355(18): 1863-72.
  • Rachtan J, Sokołowski A, Geleta M, i wsp.: Zachorowalność na nowotwory złośliwe w Krakowie w latach 2002-2004. Centrum Onkologii Instytut im. Marii Skłodowskiej-Curie, Oddział w Krakowie. Kraków 2006.
  • Stachura J: Patologia chorób przewodu pokarmowego. W: Stachura J, Domagała W (red.): Patologia znaczy słowo o chorobie. Polska Akademia Umiejętności, Kraków 2005; 799-806.
  • Fearon ER, Vogelstein B: A genetic model for colorectal tumorigenesis. Cell 1990; 61(5): 759-67.
  • Czerny LL: Aus der Heidelberger Chirurgischen Klinik - Vortrag zur Darmresektion. Berl Klin Wochenschr 1880; 17: 683.
  • Billroth I: Die allgemeine chirurgische Pathologie und Therapie. Reisner, Berlin 1889; 908.
  • Takeuchi H, Toda T, Nagasaki S et al.: Synchronous multiple colorectal adenocarcinomas. J Surg Oncol 1997; 64: 304-07.[Crossref]
  • Finan PJ, Ritchie JK, Hawley PR: Synchronous ane "early" metachronous carcinomas of the colon and rectum. Br J Surg 1987; 74: 945-47.
  • Brullet E, Montane JM, Bombardo J, et al.: Intraoperative colonoscopy in patients with colorectal cancer. Br J Surg 1992; 79: 1376-78.
  • Langevin JM, Nvatvongs S: The true incidence of synchronous cancer of large bowel. A prospective study. Am J Surg 1984; 147: 330-33.
  • Cohen JL, Forde KA: Intraoperative colonoscopy. Ann Surg 1988; 207: 231-33.
  • Huang X, Song ZY, Peng JP, et al.: Clinical analysis of intraoperative colonoscopy for colorectal carcinoma. Chin J Dig Dis 2005; suppl. 6: A27.
  • Athanasiadis S, Barry Ba, Gandjii D, et al.: Experiences with intraoperative colonoscopy in patients protocols in 2547 cases. Zentralbl Chir 1982; 107: 773-78.
  • Bat L, Neumann G, Shemesh E: The association of synchronous neoplasms with occluding colorectal cancer. Dis Colon Rectum 1985; 28: 149-51.[Crossref][PubMed]
  • North JH Jr, Rodriguez-Bigas MA, Petrelli NJ: Intraoperative colonoscopy in the management of patients with colorectal disease. Cancer Invest 1998; 16: 1-5.[PubMed][Crossref]
  • Martinez SA, Hellinger MD, Martini M, et al.: Intraoperative colonoscopy during colorectal surgery. Surg Laparosc Endosc 1998; 8: 123-26.[Crossref]
  • Vamosi-Nagy I, Koves I, Szanto I, et al.: Intraoperative colonoscopy. Eur J Surg Oncol 1993; 19: 615-18.
  • Park UC, Chung SS, Kim KR, et al.: Single-stage procedure with intraoperative colonoscopy and colonic irrigation in patients with obstructing left-sides colonic cancer. Int J Colorectal Dis 2004; 19: 487-92.
  • Kim MS, Park YJ: Detection and treatment of synchronous lesions in colrectal cancer: The clinical implication of perioperative colonoscopy. World J Gastroenterol 2007; 13: 4108-11.
  • Strodel WE, Eckhauser FE, Knol JA, et al.: Intraoperative fiberoptic colonoscopy. Am Surg 1984; 50: 340-44.
  • Sakanoue Y, Nakao K, Shoji Y, et al.: Intraoperative colonoscopy. Surg Endosc 1993; 7: 84-87.[Crossref]

Document Type

Publication order reference


YADDA identifier

JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.