Safety and reliability of tattooing colorectal neoplasms prior to laparoscopic resection
Safety and reliability of tattooing colorectal neoplasms prior to laparoscopic resection
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DOI：
10.1016/j.gassur.2003.12.016
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发表时间：
2004-07-01
影响因子：
3.2
通讯作者：
Whelan, RL
中科院分区：
文献类型：
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作者：
Feingold, DL;Addona, T;Whelan, RL
准确的肿瘤定位是进行微创结直肠切除术的关键。本研究回顾了腹腔镜切除术前纹身结直肠肿瘤的安全性和可靠性。我们回顾性分析了50例连续的结直肠肿瘤患者，这些患者在腹腔镜切除术前接受了内窥镜纹身。数据来自病历、内窥镜检查记录和病理报告。没有发生与内窥镜检查或纹身相关的并发症。5例肿瘤（10%）位于升结肠，5例（10%）位于横结肠，8例（16%）位于降结肠，23例（46%）位于乙状结肠，9例（18%）位于直肠。在44名患者（88%）中，术中纹身可视化并准确定位肿瘤。6例患者（12%）没有腹腔镜下可见的纹身，需要术中定位。平均而言，该系列中的病理学标本具有15 cm近端边缘、12 cm远端边缘和15个淋巴结。在腹腔镜结直肠切除术的背景下，术前内镜纹身是一种安全可靠的肿瘤定位方法，在大多数情况下。使用纹身定位结肠和近端直肠病变可能优于其他定位技术，包括术中内窥镜检查。
Accurate tumor localization is critical to performing minimally invasive colorectal resection. This study reviews the safety and reliability of tattooing colorectal neoplasms prior to laparoscopic resection. We retrospectively reviewed 50 consecutive patients with colorectal neoplasms who underwent endoscopic tattooing prior to laparoscopic resection. Data were obtained from medical charts, endoscopy records, and pathology reports. No complications related to endoscopy or tattooing were incurred. Five neoplasms (10%) were in the ascending colon, five (10%) were in the transverse colon, eight (16%) were in the descending colon, 23 (46%) were in the sigmoid colon, and nine (18%) were in the rectum. Tattoos were visualized intraoperatively and accurately localized the neoplasm in 44 patients (88%). Six patients (12%) did not have tattoos visualized laparoscopically and required intraoperative localization. On average, the pathology specimens in this series had a 15 cm proximal margin, a 12 cm distal margin, and 15 lymph nodes. In the context of laparoscopic colorectal resection, preoperative endoscopic tattooing is a safe and reliable method of tumor localization in most cases. Localizing colon and proximal rectal lesions with tattoos may be preferable to other localization techniques including intraoperative endoscopy.