Application of colonoscopic tattooing with India ink for localization of colorectal lesions in laparoscopic surgery
10.3969/j.issn.1007-1989.2018.06.017
- VernacularTitle:经肠镜黏膜下注射印度墨在腹腔镜手术病灶定位中的应用
- Author:
Hai-Yan HE
1
;
Xiao-Wen XU
;
Bei-Li CAI
;
Jia CHEN
;
Na ZHU
;
Ling-Yun TIAN
;
Cheng-Li GUO
;
Li-Qiang HAO
;
Hao WANG
;
En-Da YU
Author Information
1. 海军军医大学附属长海医院消化内镜中心
- Keywords:
India ink;
tattooing location;
colonoscopy;
colorectal lesions;
laparoscopic surgery
- From:
China Journal of Endoscopy
2018;24(6):93-96
- CountryChina
- Language:Chinese
-
Abstract:
Objective?To investigate the use of submucosal injection of India ink for localization of colorectal lesions in laparoscopic surgery, and to evaluate its efficiency and safety.?Methods?A retrospective study of 146 patients with colorectal lesions from January 2015 to November 2017, who underwent preoperative colonoscopic marking with India ink and subsequently received laparoscopic colectomy was conducted. 1.0 ml of physiologic saline solution was first injected into the submucosa to produce an artificial submucosal elevation, and then 0.2 ml of 1 : 10 diluted India ink followed with another 1ml of physiologic saline solution was injected. Operation time, success rate, complications, location efficiency, and postoperative pathology were evaluated.?Results?The India ink tattooing was easily applied for all patients without complication. At laparoscopic surgery, all lesions could be clearly visualized. No ink diffusion, leakage, and local inflammatory responses were observed. The surgical margins of all samples were tumor negative.?Conclusion?Preoperative submucosal tattooing with India ink is recommended as an easy, safe and economical procedure.
