Diseases of the Colon & Rectum

, Volume 42, Issue 10, pp 1353–1355 | Cite as

Intraoperative localization of colorectal tumors in the early stages using a marking clip detector system

  • Takeshi Ohdaira
  • Fumio Konishi
  • Hideo Nagai
  • Hiroshi Kashiwagi
  • Kazuhisa Shito
  • Kazutomo Togashi
  • Kyotaro Kanazawa
Technical Notes
  • 17 Downloads

Abstract

In laparoscopic colectomy the identification of the site of a tumor is often difficult. The topical injection of india ink or blue dye by preoperative colonoscopy is the most prevalent method to mark the tumor site; however, such a procedure also includes the intrinsic danger of possibly injecting dye into the peritoneal cavity. In addition, the injected marker may also spread so widely that the intended site may become obscure. A marking clip detector system was used to detect metallic marking clips in the luminal side that had been applied to the mucosa adjacent to the lesion during the course of preoperative colonoscopy. This method was able to identify the marked site in 40 percent of cases in which only one clip was applied to the mucosa. However, when the lesion sites were marked with two or three clips, then the detection rate increased to 100 percent. Based on our findings, this procedure was found to be a safe and reliable method for identifying lesions during laparoscopic-assisted colectomy.

Key words

Marking clip Metal detector Laparoscopic surgery Colorectal tumor Surgical technique 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Nizam R, Siddiqi N, Landas SK, Kaplan DS, Holtzapple PG. Colonic tattooing with India ink: benefits, risks, and alternatives. Am J Gastroenterol 1996;91:1804–8.PubMedGoogle Scholar
  2. 2.
    Nicosia JF, Abcarian H. The localization of rectosigmoidal tumors or biopsy sites by methylene blue marking. Dis Colon Rectum 1977;20:231–5.PubMedGoogle Scholar
  3. 3.
    Hachisu I, Miyazaki S, Hamaguchi K. Endoscopic clipmarking of lesion using the newly developed HX-3L clip. Surg Endosc 1989;3:142–7.PubMedGoogle Scholar
  4. 4.
    Munakata Y, Hayashi K. Laparoscopic colorectal surgery for early colorectal cancer [in Japanese]. J Jpn Soc Coloproctol 1997;50:1132–7.Google Scholar
  5. 5.
    Park SI, Genta RS, Romeo DP, Weesner RE. Colonic abscess and focal peritonitis secondary to India ink tattooing of the colon. Gastrointest Endosc 1991;37:68–71.PubMedGoogle Scholar
  6. 6.
    Coman E, Brandt L, Brenner S, Frank M, Sablay B, Bennett B. Fat necrosis and inflammatory pseudotumor due to endoscopic tattooing of the colon with India ink. Gastrointest Endosc 1991;37:65–8.PubMedGoogle Scholar
  7. 7.
    Tidey B, Price GJ, Pere-Avilla CA, Kenney IJ. The use of a metal detector to locate ingested metallic foreign bodies in children. J Accid Emerg Med 1996;13:341–2.PubMedGoogle Scholar
  8. 8.
    Sacchetti A, Carraccio C, Lichenstein R. Hand-held metal detector identification of ingested foreign bodies. Pediatr Emerg Care 1994;10:204–7.PubMedGoogle Scholar
  9. 9.
    Nugent PJ, Funahashi TT, Grogan TJ, Watts HG. Electromagnetic metal localization for removal of retained hardware in children. J Pediatr Orthop 1991;11:548–50.PubMedGoogle Scholar
  10. 10.
    Pelham PS, Eastchester RD. Use of a metal detector to identify ingested metallic foreign bodies. Am J Roentgenol 1990;155:803–4.Google Scholar

Copyright information

© The American Society of Colon and Rectal Surgeons 1999

Authors and Affiliations

  • Takeshi Ohdaira
    • 1
  • Fumio Konishi
    • 1
  • Hideo Nagai
    • 1
  • Hiroshi Kashiwagi
    • 1
  • Kazuhisa Shito
    • 1
  • Kazutomo Togashi
    • 1
  • Kyotaro Kanazawa
    • 1
  1. 1.Department of SurgeryJichi Medical SchoolTochigi-kenJapan

Personalised recommendations