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Issue: No. 89 (2025)
Section: Article
DOI: 10.58490/ctump.2025i89.4046
Date Published: 25/07/2025
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Phan, D. Q., Nguyen, V. T., Mai, V. D., Nguyen, V. H., & Pham, V. N. (2025). EARLY EVALUATION OF LAPAROSCOPIC ANTERIOR RESECTION WITH INTRAOPERATIVE COLONOSCOPY IN COLORECTAL CANCER TREATMENT. Cantho Journal of Medicine and Pharmacy, 89, 275-280. https://doi.org/10.58490/ctump.2025i89.4046

EARLY EVALUATION OF LAPAROSCOPIC ANTERIOR RESECTION WITH INTRAOPERATIVE COLONOSCOPY IN COLORECTAL CANCER TREATMENT

Duy Quy Phan1, , Van Tuan Nguyen1, Van Doi Mai1, Van Hien Nguyen1, Van Nang Pham1
1 Can Tho University of Medicine and Pharmacy

Main Article Content

Abstract

Background: Intraoperative colonoscopy was first reported by Richter in 1973. Although anastomotic devices have been improved considerably, complications related to anastomoses, particularly anastomotic leakage, still exist. Intraoperative colonoscopy is a time-saving method to observe the anastomoses from within the bowel, and has been reported to significantly reduce complications, especially anastomotic leakage. Objectives: Early evaluation of laparoscopic anterior resection with intraoperative colonoscopy and some related factors in the treatment of colorectal cancer. Materials and method: A prospective, descriptive cross-sectional study was conducted on 35 patients with sigmoid colon-rectal cancer from April 2023 to March 2025. Results: The male/female ratio was 24/11. The mean age was 65.71 ± 10.64 (37-86 years old). The mean body mass index was 22.87 ± 2.49 kg/m2. The average surgical time was 210.14 minutes. Intraoperative anastomosis inspection showed 4 cases with anastomosis <5cm from the anal verge (11.4%), 1 case of ischemic anastomosis (2.9%), 7 cases of anastomotic bleeding (20%),  no cases of air-leak test (+), 5 cases of anastomotic reinforcement (14.3%). Early postoperative complications: 1 case of anastomotic leakage (2.9%). Postoperative pathology: 74.3% moderate differentiated, 17.1% well differentiated, 8.6% poorly differentiated. The average number of dissected lymph nodes was 14.34 ± 2.26. Conclusion: Laparoscopic anterior resection with intraoperative colonoscopy is feasible and safe. The complication rate of anastomotic leakage was 2.9%. 

Keywords

Colorectal cancer, laparoscopic anterior resection, intraoperative colonoscopy

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