Hatsuzawa Y, Tsujinaka S, Miura T, Kitamura Y, Mitamura A, Sawada K, Hikage M, Nakano T, Shibata C. Current roles of colonoscopy in minimally invasive colorectal surgery: Preoperative guidance, intraoperative colonoscopy, and combined endoscopic-laparoscopic surgery. World J Gastrointest Endosc 2025; 17(11): 108874 [PMID: 41256303 DOI: 10.4253/wjge.v17.i11.108874]
Corresponding Author of This Article
Shingo Tsujinaka, MD, Associate Professor, Division of Gastroenterologic Surgery, Department of Surgery, Tohoku Medical and Pharmaceutical University, 1-15-1 Fukumuro, Miyagino-ku, Sendai, Miyagi 983-8536, Japan. tsujinakas@tohoku-mpu.ac.jp
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Nov 16, 2025 (publication date) through Nov 20, 2025
Times Cited of This Article
Times Cited (0)
Journal Information of This Article
Publication Name
World Journal of Gastrointestinal Endoscopy
ISSN
1948-5190
Publisher of This Article
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Share the Article
Hatsuzawa Y, Tsujinaka S, Miura T, Kitamura Y, Mitamura A, Sawada K, Hikage M, Nakano T, Shibata C. Current roles of colonoscopy in minimally invasive colorectal surgery: Preoperative guidance, intraoperative colonoscopy, and combined endoscopic-laparoscopic surgery. World J Gastrointest Endosc 2025; 17(11): 108874 [PMID: 41256303 DOI: 10.4253/wjge.v17.i11.108874]
World J Gastrointest Endosc. Nov 16, 2025; 17(11): 108874 Published online Nov 16, 2025. doi: 10.4253/wjge.v17.i11.108874
Current roles of colonoscopy in minimally invasive colorectal surgery: Preoperative guidance, intraoperative colonoscopy, and combined endoscopic-laparoscopic surgery
Yuuri Hatsuzawa, Shingo Tsujinaka, Tomoya Miura, Yoh Kitamura, Atsushi Mitamura, Kentaro Sawada, Makoto Hikage, Toru Nakano, Chikashi Shibata, Division of Gastroenterologic Surgery, Department of Surgery, Tohoku Medical and Pharmaceutical University, 1-15-1 Fukumuro, Miyagino-ku, Sendai, Miyagi 983-8536, Japan
Author contributions: Hatsuzawa Y and Tsujinaka S contributed to study conception and design and drafted the manuscript; Hatsuzawa Y, Tsujinaka S, Miura T, and Kitamura Y contributed to data and image acquisition; Mitamura A, Sawada K, and Hikage M contributed to data interpretation; Nakano T and Shibata C provided critical review of the manuscript for important intellectual content; and all authors read and approved the final version of the manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Shingo Tsujinaka, MD, Associate Professor, Division of Gastroenterologic Surgery, Department of Surgery, Tohoku Medical and Pharmaceutical University, 1-15-1 Fukumuro, Miyagino-ku, Sendai, Miyagi 983-8536, Japan. tsujinakas@tohoku-mpu.ac.jp
Received: April 24, 2025 Revised: June 12, 2025 Accepted: October 13, 2025 Published online: November 16, 2025 Processing time: 203 Days and 19.7 Hours
Core Tip
Core Tip: Colonoscopy has evolved beyond diagnostics to serve as a valuable tool for therapeutic guidance in minimally invasive colorectal surgeries. Traditional preoperative tattoo marking for tumor localization carries risks, including ink scattering and challenges in dissecting the lower rectum. Near-infrared fluorescence clips, placed preoperatively, offer improved intraoperative tumor localization. Intraoperative colonoscopy enables real-time tumor identification, colonic irrigation, and assessment of anastomotic integrity, potentially reducing the risk of leakage. Advanced endoscopic techniques, including endoscopic mucosal resection, endoscopic submucosal dissection, hybrid endoscopic submucosal dissection, and combined endoscopic laparoscopic surgery, have broadened the options for resecting colorectal tumors and appendiceal neoplasms, supporting endoscopy-guided full-thickness resection.
