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©2007 Baishideng Publishing Group Co.
World J Gastroenterol. Aug 14, 2007; 13(30): 4108-4111
Published online Aug 14, 2007. doi: 10.3748/wjg.v13.i30.4108
Published online Aug 14, 2007. doi: 10.3748/wjg.v13.i30.4108
Table 1 Distribution of primary carcinoma by stage (TNM stage) and site
Site | Stage | ||||
I | II | III | IV | Total | |
Ascending colon | 16 | 22 | 16 | 3 | 57 |
Transverse colon | 5 | 6 | 8 | 2 | 21 |
Descending colon | 3 | 6 | 5 | 1 | 15 |
Sigmoid colon | 22 | 27 | 43 | 3 | 95 |
Rectum | 32 | 37 | 54 | 5 | 128 |
Total | 78 | 98 | 126 | 14 | 316 |
Table 2 Characteristics of synchronous lesions
Characteristics | Number of lesions | % |
Location of polyps | ||
Ascending colon | 48 | 17.0 |
Transverse colon | 39 | 13.8 |
Descending colon | 18 | 6.4 |
Sigmoid colon | 93 | 33.0 |
Rectum | 84 | 29.8 |
Size of polyp (mm) | ||
< 5 | 77 | 27.3 |
5-10 | 109 | 38.7 |
10-15 | 56 | 19.8 |
15-20 | 23 | 8.2 |
> 20 | 17 | 6.0 |
Histology | ||
Carcinoma | 19 | 6.7 |
Adenomatous polyp | 158 | 56.0 |
Tubular | 93 | |
Villo-tubular | 37 | |
Villous | 28 | |
Hyperplastic polyp | 78 | 27.7 |
Others | 27 | 9.6 |
Total number of polyps | 282 | 100 |
Table 3 Treatment of synchronous lesions
No. of patients withsynchronous lesions | No. of lesions | |
Preoperative colonoscopy cases (n = 265) | 1051 | 255 |
Preoperative polypectomy | 77 | 156 |
Surgical removal | 37 | 99 |
Included within specimen | 18 | 51 |
Segmental resection | 6 | 12 |
Enterotomy/wedge resection | 10 | 15 |
Subtotal colectomy | 3 | 21 |
Intraoperative colonoscopy cases (n = 51) | 19 | 33 |
Endoscopic polypectomy | 5 | 7 |
Surgical removal | 7 | 13 |
Segmental resection | 3 | 7 |
Enterotomy | 4 | 6 |
Included within specimen2 | 7 | 13 |
Total | 124 | 282 |
Table 4 Incidence of complications
Time of colonoscopies | Number of patients (%) |
Preoperative colonoscopy (n = 265) | |
Anastomosis leakage | 4 (1.5) |
Intraabdominal sepsis | 3 (1.1) |
Wound infection | 7 (2.6) |
Intraoperative colonoscopy with bowel preparation (n = 42) | |
Anastomosis leakage | 1 (2.4) |
Intraabdominal sepsis | 1 (2.4) |
Wound infection | 3 (4.7) |
Intraoperative colonoscopy with intraoperative colon lavage (n = 9) | |
Anastomosis leakage | 0 |
Intraabdominal sepsis | 0 |
Wound infection | 2 |
- Citation: Kim MS, Park YJ. Detection and treatment of synchronous lesions in colorectal cancer: The clinical implication of perioperative colonoscopy. World J Gastroenterol 2007; 13(30): 4108-4111
- URL: https://www.wjgnet.com/1007-9327/full/v13/i30/4108.htm
- DOI: https://dx.doi.org/10.3748/wjg.v13.i30.4108