Endoscopic localization of colon cancers

Surg Endosc. 1994 Sep;8(9):1085-7. doi: 10.1007/BF00705725.

Abstract

In order to determine the accuracy of endoscopic localization of colon cancers, the endoscopic location was compared to the actual location at the time of operation in 320 patients who underwent resection of intraabdominal colon cancer between 1983 and 1988. The endoscopic location was correct in 86% of the cases. There were 44 endoscopic errors, including seven missed cancers. One-third of all endoscopic errors occurred when the tumor was in the cecum. We conclude that endoscopy is an accurate method of localizing colon cancers. However, with the advent of laparoscopic surgery and the loss of the ability to palpate the colon, the 14% of endoscopic errors take on a greater importance and additional means for localizing tumors should be pursued in selected cases.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Barium Sulfate
  • Cecal Neoplasms / diagnosis
  • Cecal Neoplasms / diagnostic imaging
  • Cecal Neoplasms / surgery
  • Colectomy
  • Colonic Neoplasms / diagnosis*
  • Colonic Neoplasms / diagnostic imaging
  • Colonic Neoplasms / surgery
  • Colonoscopy*
  • Diagnostic Techniques, Surgical
  • Enema
  • Female
  • Humans
  • Intraoperative Care
  • Laparoscopy
  • Male
  • Palpation
  • Radiography
  • Retrospective Studies
  • Sensitivity and Specificity
  • Sigmoid Neoplasms / diagnosis
  • Sigmoid Neoplasms / diagnostic imaging
  • Sigmoid Neoplasms / surgery

Substances

  • Barium Sulfate