The usefulness of preoperative colonoscopic tattooing using a saline test injection method with prepackaged sterile India ink for localization in laparoscopic colorectal surgery

Park, Ji Won; Sohn, Dae Kyung; Hong, Chang Won; Han, Kyung Su; Choi, Dong Hyun; Chang, Hee Jin; Lim, Sangwoo; Choi, Hyo Seong; Jeong, Seung‐Yong

doi:10.1007/s00464-007-9495-2

Cited by 97 publications

(75 citation statements)

References 21 publications

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“…16 In our series, no complications resulted from endoscopic tattooing. There was also no difference in the number of lymph nodes retrieved or in intraoperative complication rates from tattooing.…”

Section: Discussionmentioning

confidence: 47%

Tattooing or not? A review of current practice and outcomes for laparoscopic colonic resection following endoscopy at a tertiary care centre

Letarte

Webb

Raval

et al. 2017

CJS

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Background: Because small colonic tumours may not be visualized or palpated during laparoscopy, location of the lesion must be identified before surgery. The aim of this study was to evaluate the effectiveness of the current recommendation of endoscopic tattooing of lesions prior to laparoscopic colonic resections.Methods: All consecutive patients who underwent elective laparoscopic resection for a colonic lesion at a single tertiary institution between 2013 and 2015 were identified for chart review. Results:In total, 224 patients underwent laparoscopic resection for a benign or malignant colonic lesion during the study period. All patients had a complete colon oscopy preoperatively. In all, 148 patients (66%) had their lesion tattooed at endos copy. Most lesions were tattooed distally, but 15% were tattooed either proximally, both proximally and distally, or tattooed without specifying location as proximal or distal. Tattoo localization was accurate in 69% of cases. Tattooed lesions were not visible during surgery 21.5% of time; 2 cases were converted to open surgery to identify the lesion. Inaccuracy in endoscopic localization led to change in surgical plan in 16% of surgeries. In the nontattooed group, 1 case was converted to open surgery to localize the lesion, 3 required intraoperative colonoscopy and 1 had posi tive margins on final pathology. Conclusion:To improve surgical planning, we recommend the practice of endo scopic tattooing of all colon lesions at a location just distal to the lesion using multiple injections to cover the circumference of the bowel wall.Contexte : Comme il n'est pas toujours possible de voir ou de palper les petites tumeurs du côlon durant la laparoscopie, le siège de la lésion doit être localisé avant la chirurgie. Le but de cette étude était d'évaluer l'efficacité de la recommandation actuelle, qui consiste à tatouer les lésions au cours de l'endoscopie, avant les colec tomies laparoscopiques.Méthodes : Nous avons recensé tous les patients consécutifs ayant subi une résection laparoscopique non urgente d'une lésion du côlon dans un même établissement de soins tertiaires entre 2013 et 2015 afin d'analyser leurs dossiers.Résultats : En tout, 224 patients ont subi la résection laparoscopique d'une lésion bénigne ou maligne du côlon durant la période visée. Tous les patients ont passé une coloscopie totale avant la chirurgie. Le tatouage endoscopique de la lésion a été effec tué pour 148 patients (66 %). La plupart des lésions ont été tatouées au point distal, mais 15 % l'ont été soit au point proximal, soit au point proximal et au point distal, soit sans précision quant à l'emplacement. La localisation par tatouage était exacte dans 69 % des cas. Les lésions tatouées n'étaient pas visibles durant la chirurgie dans 21,5 % des cas; 2 cas ont été convertis en chirurgies effractives afin qu'on puisse repérer la lésion. L'inexactitude de la localisation endoscopique a entraîné la modification du plan chirurgical dans 16 % des chirurgies. Dans le groupe non tatoué, 1 cas a été converti ...

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Section: Discussionmentioning

confidence: 47%

Tattooing or not? A review of current practice and outcomes for laparoscopic colonic resection following endoscopy at a tertiary care centre

Letarte

Webb

Raval

et al. 2017

CJS

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“…The first one is the saline test injection method with use of SPOT® solution. This technique improve the security of India ink colouration, and become the choice for tattooing due to its simplicity, as well as for its security and its being a long-lasting stain (2). Recently, two other techniques were proposed: the first one was the application of a new Indocyanine green that could permit with a particular device to observe with more precision where the injection takes place, nd also the limphonodal drainage (9); the second consists instead in applying fluorescent clips, but it still has the problem of removal for traction, caused by the transit of stool (10).…”

Section: Discussionmentioning

confidence: 99%

“…The most common technique is the India ink tattoing with saline test. This technique, according to the literature, involves the injecting 1 ml of saline solution into the submucosal layer to form a proper submucosal elevation followed by the injection of 1 to 1.5 ml of India ink (2).…”

Section: Introductionmentioning

confidence: 99%

Complication of endoscopic tattooing: a case report of covered perforation

Falco¹,

Fontana

Tutino³

et al. 2016

Gchir

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IntroductionIn the last decade laparoscopy acquired more and more indications for many malignant and non malignant abdominal diseases although the procedure doesn't ever consent a good recognition of lesions in patients with small ones. Then tattooing is recommended (Evidence Level III and grade of recommendation A) to mark a lesion or a polypectomy site for future surgical identification (1). This procedure, that is quite cheap, should become a routine procedure in addiction to routinecolonoscopy although it isn't free from risks and complications (1). The most common technique is the India ink tattoing with saline test. This technique, according to the literature, involves the injecting 1 ml of saline solution into the submucosal layer to form a proper submucosal elevation followed by the injection of 1 to 1.5 ml of India ink (2). Patients and methodsRD, female, 63 years old. She underwent colonoscopy for diarrhoea with diagnosis of 3,5 cm polyp covered by intact mucosa, classified as lipoma of the middle tract of transverse colon. This medical case had been deeply examined with the use of Computed Tomography (CT) with ev infusion of iodate contrast medium. This examination confirmed the diagnosis of lipoma of middle transverse colon, and identified the presence of S7 hepatic angioma and inguinal lymphadenopathy (dt max 1.3 cm). Patient went in another hospital requiring a surgical approach. So the operation was planned and the Aim. Laparoscopy is considered a good approach in treatment of colorectal neoplastic diseases; the endoscopic tattooing is then recommended (Evidence Level III and grade of recommendation A) to mark a lesion or a polypectomy site for intraoperative identification. We describe the case of perforation after tattoing treated conservatively.Case

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“…Его широко используют в западной колоректальной и эндоскопической хи-рургии [18][19][20][21]. Эндоскопическая татуировка пред-назначена для облегчения локализации люминаль-ной патологии во время хирургической операции или повторного эндоскопического обследования.…”

Section: Endoscopic Tattooing Of Colorectal Neoplasms and Laparoscopiunclassified

Endoscopic tattooing of colorectal neoplasms and laparoscopic surgery: technical aspects and recommendations

Bashankaev

Shishin

Веселов

et al. 2017

Khir. Z. im. N.I. Pirogova

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Accurate mapping of colorectal neoplasms is needed in many clinical situations. Intraoperative mapping of small lesions previously detected by endoscopy is often challenging, especially during laparoscopic surgery. Tumor location assessed during colonoscopy may be inaccurate because of limitations of the procedure. Small flat neoplasms with signs of invasiveness, which are hard to detect by palpation, hold a special place. The same situation is observed for nonradical endoscopic resection of malignant polyps or early cancer, when visual examination shows that the tumor masses have been completely resected but histological examination reveals the positive lateral or horizontal resection margin. Endoscopic tattooing is an effective, safe, and economically sound method to mark intraluminal colorectal neoplasms, which allows one to perform minimally invasive surgeries without using additional operating room resources.

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The usefulness of preoperative colonoscopic tattooing using a saline test injection method with prepackaged sterile India ink for localization in laparoscopic colorectal surgery

Abstract: Preoperative colonoscopic tattooing using a saline test injection method with prepackaged sterile India ink is a safe and effective method for tumor localization in laparoscopic colorectal surgery.

Cited by 97 publications

References 21 publications

Tattooing or not? A review of current practice and outcomes for laparoscopic colonic resection following endoscopy at a tertiary care centre

Tattooing or not? A review of current practice and outcomes for laparoscopic colonic resection following endoscopy at a tertiary care centre

Complication of endoscopic tattooing: a case report of covered perforation

Endoscopic tattooing of colorectal neoplasms and laparoscopic surgery: technical aspects and recommendations

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