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The Usefulness of Preoperative Colonoscopic Tattooing with Autologous Blood for Localization in Laparoscopic Colorectal Surgery

Journal of Minimally Invasive Surgery 2020년 23권 3호 p.114 ~ 119
여의도, 성낙송, 노승재, 최원준, 송경호, 최인석, 윤대성, 이상억, 문주익, 권성욱, 배인의, 이승재,
소속 상세정보
여의도 ( Yeo Ui-Do ) - Konyang University Hospital Department of Surgery
성낙송 ( Sung Nak-Song ) - Konyang University Hospital Department of Surgery
노승재 ( Roh Seung-Jae ) - Konyang University Hospital Department of Surgery
최원준 ( Choi Won-Jun ) - Konyang University Hospital Department of Surgery
송경호 ( Song Kyung-Ho ) - Konyang University Hospital Department of Surgery
최인석 ( Choi In-Seok ) - Konyang University Hospital Department of Surgery
윤대성 ( Yoon Dae-Sung ) - Konyang University Hospital Department of Surgery
이상억 ( Lee Sang-Eok ) - Konyang University Hospital Department of Surgery
문주익 ( Moon Ju-Ik ) - Konyang University Hospital Department of Surgery
권성욱 ( Kwon Seong-Uk ) - Konyang University Hospital Department of Surgery
배인의 ( Bae In-Eui ) - Konyang University Hospital Department of Surgery
이승재 ( Lee Seung-Jae ) - Konyang University Hospital Department of Surgery

Abstract


Purpose: In colorectal cancer surgery, it is important to have accurate resection margins. However, it is challenging to localize lesions during laparoscopy. Therefore, to reduce surgical errors, many preoperative localizing methods have been introduced. In this study, we aimed to assess the preoperative feasibility and safety of autologous blood tattooing.

Methods: A total of 11 patients underwent preoperative colonoscopic autologous blood tattooing from August 2017 to February 2020. At the start of the surgery, the surgeon assessed the patients for the precision of visibility and other complications such as abscess or spillage. The patients’ characteristics, outcomes, and complications were collected retrospectively.

Results: The study comprised 8 men and 3 women, with an average age of 63 years. Ten patients showed precise visibility, and no localization errors were observed during surgery. No complication was observed in all patients.

Conclusion: Preoperative autologous blood tattooing is a very useful and safe technique because it has high visibility with no complications. This method does not require additional agents or facilities. A large-scale study will be required to develop standard guidelines.

키워드

Colonoscopy; Tattooing; Localization; Autologous blood; Colorectal cancer

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