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Purpose: Preoperative localization is the most important preparation for laparoscopic surgery. Preoperative marking with India ink has widely been used and is considered to be safe and effective. However, India ink can cause significant inflammation, adhesions and bowel obstruction. Therefore, we have used the patient’s blood instead of the ink since 2011. In this retrospective study, we wanted to examine the feasibility of preoperative localization by using the patient’s blood.

Methods: Twenty-five patients who underwent preoperative localization in which 10 mL of their own venous blood was used as a tattooing agent were included in this study. The characteristics of the patients, the anatomy of the colon cancer, and the efficacy and the side effects of using this procedure were analyzed.

Results: In 23 cases (92%), through the laparoscope, we found perfectly localized bloody smudges in the serosa. However, in 2 cases (8%), we could not find the exact location of the lesion. No patients showed any complications.

Conclusion: Preoperative localization of early colon cancer or a malignant polyp by using patient’s blood is feasible, safe and simple. We think that using the patient’s blood for localization of a lesion is better than using some other foreign material such as India ink.

권호기사

권호기사 목록 테이블로 기사명, 저자명, 페이지, 원문, 기사목차 순으로 되어있습니다.
기사명 저자명 페이지 원문 목차
Sphincter-Preserving Therapy for Treating a Chronic Anal Fissure : Long-term Outcomes Ridzuan Farouk pp.132-134

Preoperative Localization of Early Colorectal Cancer or a Malignant Polyp by Using the Patient's Own Blood Seung Hwan Lee, Do Yoon Kim, Seung Yeop Oh, Kwang Jae Lee, Kwang Wook Suh pp.115-117

TisN0M1 Sigmoid Colon Cancer : A Case Report Kyung Ha Lee, Jin Su Kim, Kwang Sik Cheon, In Sang Song, Dae Young Kang, Ji Yeon Kim pp.141-146

Pelvic Floor Rehabilitation to Improve Functional Outcome After a Low Anterior Resection : A Systematic Review Wilhelmina S. Visser, Wouter W. te Riele, Djamila Boerma, Bert van Ramshorst, Henderik L. van Westreenen pp.109-114

Feasibility and Safety of a Fold-Over Diverting Ileostomy Reversal After Rectal Cancer Surgery : Case-Matched Comparison to the Resection Technique Jinock Cheong, Jeonghyun Kang, Im-Kyung Kim, Nam Kyu Kim, Seung-Kook Sohn, Kang Young Lee pp.118-121

Surgical Strategy for Colonic Intussusception Caused by a Giant Colonic Lipoma : A Report of Two Cases and a Review of the Literature Seung-Jin Kwag, Sang-Kyung Choi, Eun-Jung Jung, Chi-Young Jung, Sang-Ho Jung, Tae-Jin Park, Young-Tae Ju pp.147-150

The Unresolved Case of Sacral Chordoma: From Misdiagnosis to Challenging Surgery and Medical Therapy Resistance Fabio Garofalo, Dimitrios Christoforidis, Pietro G. di Summa, Béatrice Gay, Stéphane Cherix, Wassim Raffoul, Nicolas Demartines, Maurice Matter pp.122-131

Morphine Spinal Block Anesthesia in Patients Who Undergo an Open Hemorrhoidectomy : A Prospective Analysis of Pain Control and Postoperative Complications Hélio Moreira Jr., José P.T. Moreira, Raniere R. Isaac, Onofre Alves-Neto, Thiago A.C. Moreira, Tiago H.M. Vieira, Andressa M.S. Brasil pp.135-140

참고문헌 (16건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Safety and efficacy of India ink and indocyanine green as colonic tattooing agents 네이버 미소장
2 Fat necrosis and inflammatory pseudotumor due to endoscopic tattooing of the colon with India ink 네이버 미소장
3 Gianom D, Hollinger A, Wirth HP. Intestinal perforation after preoperative colonic tattooing with India ink. Swiss Surg 2003;9:307-10. 미소장
4 Localization of colonic lesions with endoscopic tattoo. 네이버 미소장
5 Inadvertent transmural India ink tattooing simulating intestinal infarction 네이버 미소장
6 Adhesion ileus caused by tattoo-marking: unusual complication after laparoscopic surgery for early colorectal cancer. 네이버 미소장
7 Yeung JM, Maxwell-Armstrong C, Acheson AG. Colonic tattooing in laparoscopic surgery - making the mark? Colorectal Dis 2009;11:527-30. 미소장
8 Ellis KK, Fennerty MB. Marking and identifying colon lesions. Tattoos, clips, and radiology in imaging the colon. Gastrointest Endosc Clin N Am 1997;7:401-11. 미소장
9 Cho YB, Lee WY, Yun HR, Lee WS, Yun SH, Chun HK. Tumor localization for laparoscopic colorectal surgery. World J Surg 2007;31:1491-5. 미소장
10 A technique for marking the mucosa of the gastrointestinal tract after polypectomy 네이버 미소장
11 The use of a tattooing instrument for marking colonic mucosa 네이버 미소장
12 Endoscopic marking of colonic lesions 네이버 미소장
13 Intraperitoneal India ink deposits appearing as endometriosis in a patient with chronic pelvic pain. 네이버 미소장
14 Colonic tattooing with India ink: benefits, risks, and alternatives. 네이버 미소장
15 Nagata K, Endo S, Tatsukawa K, Kudo SE. Intraoperative fluoroscopy vs. intraoperative laparoscopic ultrasonography for early colorectal cancer localization in laparoscopic surgery. Surg Endosc 2008;22:379-85. 미소장
16 Watanabe M, Tsunoda A, Narita K, Kusano M, Miwa M. Colonic tattooing using fluorescence imaging with light-emitting diode-activated indocyanine green: a feasibility study. Surg Today 2009;39:214-8. 미소장