Complete single-stage management of left colon cancer obstruction with a new device.
BACKGROUND
A newly developed device that enables easy intraoperative colonic irrigation and subsequent colonoscopy was introduced recently.


METHODS
To evaluate the efficacy of the single-stage procedure with a new device and the significance of on-table colonoscopy, 112 patients with obstructive left colon cancer were recruited.


RESULTS
Primary anastomosis after tumor resection was performed in 104 cases. The volume of saline used for irrigation averaged 13.5 l over 12.1 min. Subsequent colonoscopic examination added an average of 10.4 min to the operative time. There were three anastomotic leaks, two wound infections, four acute renal failures, and two operative mortalities. On-table colonoscopy resulted in extended resection in 17 cases.


CONCLUSIONS
The new device enabled safe, simple, and time-saving, single-stage surgical management of left colon cancer obstruction. The ability to perform on-table colonoscopy enabled treatment and recognition of synchronous bowel pathology.
Kim
J-H
JH
Department of Surgery [corrected], College of Medicine, Yeungnam University, 317-1 Daemyungdong Namku, Daegu, 705-717, Korea.
Shon
D-H
DH
Kang
S-H
SH
Jang
B-I
BI
Chung
M-K
MK
Kim
J-H
JH
Shim
M-C
MC
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003108:Colonic Diseases / Q000209:etiology* / Q000601:surgery*; D003110:Colonic Neoplasms / Q000150:complications*; D013505:Digestive System Surgical Procedures / Q000295:instrumentation; D004867:Equipment Design; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D007507:Therapeutic Irrigation / Q000295:instrumentation