Increased utilization of flexible endoscopic methods during colorectal resection over a 3-year period

Vincent Dimaggio, Keith Hoffman, Ray Baxter, Vesna Cekic, Abu Nasar, Richard L. Whelan

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Introduction. Intraoperative endoscopy (IE) is performed during some colorectal resections (CRR) mainly to inspect circular stapled anastomoses (CSA) and to locate small neoplasms. This studys purpose was to determine how often rigid and flexible lower endoscopic methods were used during CRR by one colorectal surgeon over three 1-year periods. Methods. Data concerning the indication for surgery and IE, type of resection, and the use of rigid and flexible methods were obtained from a prospective database and from hospital charts during Period 1 (P1), 1/1/05 to 12/31/05; P2, 7/1/06 to 6/31/07; and P3, 7/01/07 to 6/30/08. The endoscopic CO2 insufflation device was introduced during P2. The utilization rates (UR) for rigid and flexible methods and the overall UR in each time period were compared. The ‡2 and Fisher exact test were used for analysis. Results. No significant differences were found in overall endoscopy UR between periods (94-109/per period.) A significantly higher flexible UR was noted during P3 (43.1% of all CRR) than during P1 (18.6%, P <.001) or P2 (28.7%, P <.03). There was a concomitant significant drop in the rigid UR during Period 3 (1.8% of all CRR) when compared with P1 (24.5%, P <.001) or P2 (27.7%, P <.001). Conclusion. The overall UR did not significantly vary; however, during P3 the flexible UR increased whereas the rigid UR decreased (vs P1, P2; P <.05). The addition of extra endoscopes and an endoscopic CO2 insufflation device to the operating room coincided with increased flexible UR.

Original languageEnglish
Pages (from-to)293-298
Number of pages6
JournalSurgical Innovation
Volume16
Issue number4
DOIs
StatePublished - Dec 2009
Externally publishedYes

Keywords

  • CO endoscopic insufflation
  • Colorectal resection
  • Intraoperative colonoscopy
  • Intraoperative endoscopy

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