Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/13755
Title: Colonoscopic localization accuracy for colorectal resections in the laparoscopic era
Authors: Yap, Raymond;Ianno, Damian;Burgess, Adele
Issue Date: 2016
EDate: 2016-02-22
Citation: The American Journal of Surgery 2016, 22 February epub
Abstract: BACKGROUND: Colonic resection is increasingly performed laparoscopically, where intraoperative tumor localization is difficult. Incorrect localization can have adverse surgical results. This has not been studied in laparoscopic resection. This study aimed to evaluate colonoscopic localization accuracy, contributing factors, and subsequent surgery. METHODS: Retrospective review of patients who underwent colonic resection after colonoscopy between 2008 and 2013 at a single institution, with subsequent univariate and multivariate analysis. RESULTS: Of 221 lesions identified, 79.0% were correctly localized. Nine (4.0%) incorrectly localized cases required changes in surgery. Two factors were significant on multivariate analysis: gastroenterology training and incomplete colonoscopy were associated with incorrect localization. CONCLUSIONS: Colonoscopy is reasonably accurate at localizing lesions. Methods such as tattooing should be used, but error is still possible. Communication between endoscopists and surgeons is vital to minimize the risk of incorrect localization. Emphasis is needed during colonoscopic training of awareness and protocolization of colonoscopic position and methods to improve localizatio
URI: http://ahro.austin.org.au/austinjspui/handle/1/13755
DOI: 10.1016/j.amjsurg.2015.12.014
PubMed URL: http://www.ncbi.nlm.nih.gov/pubmed/27018077
Type: Journal Article
Subjects: Colonoscopy
Colorectal Neoplasms
Type of Clinical Study or Trial: Reviews/Systematic Reviews
Appears in Collections:Journal articles

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