Colonoscopic localization accuracy for colorectal resections in the laparoscopic era.
Raymond Yap, Damian Ianno, Adele Burgess
The American Journal of Surgery | Published : 2016
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 sig..View full abstract