The utility of routine preoperative computed tomography scanning in the management of veterans with colon cancer.

Abstract:

BACKGROUND:The aim of this study is to assess the clinical utility of routine preoperative computed tomography (CT) scanning in patients with cancer of the intraperitoneal colon. METHODS:From November 1997 to June 2001, all patients at VA Puget Sound Healthcare System with a diagnosis of colon cancer were referred for a preoperative CT scan. Medical records and operative notes were reviewed to determine the influence of preoperative CT on clinical management. RESULTS:Seventy patients received a CT per protocol. Preoperative CT provided information that was used in treatment planning and management in 26 (37%) cases. However, if preoperative scans had not been performed, the clinical management would have been definitively altered in only 13 (19%) patients. CONCLUSIONS:Although these data suggest potential benefit for routine preoperative CT scanning, we believe additional study, including cost analysis, should precede the adoption of CT scanning as a routine preoperative study in patients with colon cancer.

journal_name

Am J Surg

authors

Barton JB,Langdale LA,Cummins JS,Stelzner M,Lynge DC,Mock CN,Nason KS,Billingsley KG

doi

10.1016/s0002-9610(02)00841-3

subject

Has Abstract

pub_date

2002-05-01 00:00:00

pages

499-503

issue

5

eissn

0002-9610

issn

1879-1883

pii

S0002961002008413

journal_volume

183

pub_type

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