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Complete single-stage management of left colon cancer obstruction with a new device

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Surgical Endoscopy And Other Interventional Techniques Aims and scope Submit manuscript

An Erratum to this article was published on 17 November 2005

Abstract

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.

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Authors and Affiliations

  1. College of Medicine, Yeungnam University, 317-1 Daemyungdong Namku, Daegu, 705-717, Korea

    J.-H. Kim, D.-H. Shon, S.-H. Kang & M.-C. Shim

  2. Department of Surgery and Internal Medicine, Yeungnam University Hospital, 317-1 Daemyungdong Namku, Daegu, 705-717, Korea

    B.-I. Jang, M.-K. Chung & J.-H. Kim

Authors
  1. J.-H. Kim
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  2. D.-H. Shon
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  3. S.-H. Kang
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  4. B.-I. Jang
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  5. M.-K. Chung
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  6. J.-H. Kim
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  7. M.-C. Shim
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Corresponding author

Correspondence to J.-H. Kim.

Additional information

This study is based on the presentation at the 102nd International Society of University Colon Rectal Surgeons (ISUCRS) held in Osaka, Japan, 25–29, April 2002

An erratum to this article is available at http://dx.doi.org/10.1007/s00464-005-3000-6.

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Kim, JH., Shon, DH., Kang, SH. et al. Complete single-stage management of left colon cancer obstruction with a new device. Surg Endosc 19, 1381–1387 (2005). https://doi.org/10.1007/s00464-004-8232-3

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  • DOI: https://doi.org/10.1007/s00464-004-8232-3

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