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The Use of Preoperative Endoscopic Tattooing in Laparoscopic Colorectal Cancer Surgery for Endoscopically Advanced Tumors: A Prospective Comparative Clinical Study

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Abstract

Background

Endoscopic India ink marking techniques are often used for the intraoperative location of colonic polyps and early stage neoplasms. The aim of this study was to compare how effective this technique is compared with conventional localization methods, as well as its influence on the results of colorectal laparoscopy (LSCRC) for endoscopically advanced tumors.

Methods

From January 2003 to January 2005, 47 patients with colorectal carcinomas were included in the study. In one group, lesions were localized preoperatively by endoscopic India ink tattooing (n = 21; tattooed group, TG), while conventional methods were used in the others (n = 26; non-tattooed group, NTG). Patients’ perioperative clinical and pathoanatomical data were prospectively collected.

Results

Both groups were comparable in age, sex distribution, American Society of Anesthesiologists (ASA) score, body mass index (BMI), technique performed, tumor size and proportion of patients who had previous abdominal surgery. Three patients presented ink spillage without clinical repercussions. Visualization of the correct resection site was higher in the TG (100% vs. 80.8%, P = 0.03). Operative time (147.3 ± 46.2 vs. 187.0 ± 52.7 minutes, P = 0.02) and blood loss (99.3 ± 82.8 vs. 163.6 ± 96.6 cc, P = 0.03) were lower in the TG. There were no differences between groups regarding peristalsis, introduction of oral intake, hospital stay or intra- and postoperative complication rates. No differences were observed amongst pathoanatomical data studied.

Conclusions

Preoperative endoscopic tattooing is a safe and effective technique for intraoperative localization of advanced colorectal neoplasms, improving the operative results of LSCRC.

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References

  1. Zamora O, Dinnewitzer AJ, Pitarsky AJ, et al. Intraoperative endoscopy in laparoscopic colectomy. Surg Endosc 2002;16:808–811

    Google Scholar 

  2. Kim SH, Milsom JW, Church JM, et al. Perioperative tumor localization for laparoscopic colorectal surgery. Surg Endosc 1997;11:1013–1016

    Article  PubMed  CAS  Google Scholar 

  3. Dunaway MT, Webb WR, Rodning CB. Intraluminal measurement of distance in the colorectal region employing rigid and flexible endoscopes. Surg Endosc 1988;2:81–83

    Article  PubMed  CAS  Google Scholar 

  4. Frager DH, Frager JD, Wolf EL, et al. Problems in the colonoscopic localization of tumors: continued value of the barium enema. Gastrointest Radiol 1987;12:343–346

    Article  PubMed  CAS  Google Scholar 

  5. Sauntry JP, Knudtson KP. A technique for marking the mucosa of the gastrointestinal tract after polypectomy. Cancer 1958;11:607–610

    PubMed  CAS  Google Scholar 

  6. Askin MP, Waye JD, Fiedler L, et al. Tattoo of colonic neoplasm in 113 patients with a new sterile carbon compound. Gastrointest Endosc 2002;56:339–342

    Article  PubMed  Google Scholar 

  7. Feingold DL, Addona T, Forde KA, et al. Safety and reliability of tattooing colorectal neoplasms prior to laparoscopic resection. J Gastrointest Surg 2004;8:543–546

    Article  PubMed  Google Scholar 

  8. Japanese Research Society for Cancer of the Colon and Rectum. General rules for clinical and pathological studies on cancer of colon, rectum, and anus. 1st edn. Tokyo, Kanehara, 1997

    Google Scholar 

  9. McArthur CS, Roayaie S, Waye JD. Safety of preoperation endoscopic tattoo with india ink for identification of colonic lesions. Surg Endosc 1999;13:397–400

    Article  PubMed  CAS  Google Scholar 

  10. Wexner SD, Cohen SM, Ulrich A, et al. Laparoscopic colorectal surgery—are we being honest with our patients? Dis Colon Rectum 1995;38:723–727

    Article  PubMed  CAS  Google Scholar 

  11. Lacy AM, García Valdecasas JC, Delgado S, et al. Laparoscopy-assisted colectomy versus open colectomy for treatment of non-metastatic colon cancer: a randomised trial. Lancet 2002;359:2224–2229

    Article  PubMed  Google Scholar 

  12. Clinical Outcomes of Surgical Therapy Study Group. A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med 2004;350:2050–2059

    Google Scholar 

  13. Fletcher RH. The end of barium enemas? N Engl J Med 2000;342:1757–1763

    Google Scholar 

  14. Richter RM, Littman L, Levowitz BS. Intraoperative fiberoptic colonoscopy. Localization of nonpalpable colonic lesions. Arch Surg 1973;106:228

    PubMed  CAS  Google Scholar 

  15. Ohdaira T, Nagai H, Shoji M. Intraoperative localization of colorectal tumors in the early stages using a magnetic marking clip detector system (MMCDS). Surg Endosc 2003;17:692–695

    PubMed  CAS  Google Scholar 

  16. Panaro F, Cassaccia M, Cavaliere D, et al. Laparoscopic colon resection with intraoperative polyp localisation with high resolution ultrasonography coupled with colour power Doppler. Postgrad Med J 2003;79:533–534

    Article  PubMed  CAS  Google Scholar 

  17. Fu KI, Fujii T, Kato S, et al. A new endoscopic tattooing technique for identifying the location of colonic lesions during laparoscopic surgery: a comparison with the conventional technique. Endoscopy 2001;33:687–691

    Article  PubMed  CAS  Google Scholar 

  18. Veldkamp R, Kuhry E, Hop WC, et al. Colon cancer laparoscopic or open resection study group (COLOR). Laparoscopic surgery versus open surgery for colon cancer: short-term outcomes of a randomised trial. Lancet Oncol 2005;6:477–484

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Gastrointestinal Surgery, Hospital Universitario de Canarias, Ofra, s/n. La Cuesta, La Laguna, Santa Cruz de Tenerife, 38320, Spain

    Ivan Arteaga-González MD, Antonio Martín-Malagón MD, Eudaldo M. López-Tomassetti Fernández MD, Hermogenes Díaz Luis MD & Angel Carrillo-Pallares MD, PhD

  2. Department of Gastroenterology, Hospital Universitario de Canarias, Ofra, s/n. La Cuesta, La Laguna, Santa Cruz de Tenerife, 38320, Spain

    Adolfo Parra-Blanco MD, David Nicolas-Perez MD & Enrique Quintero-Carrión MD

  3. Department of Anesthesiology, Hospital Nuestra Senora da la Candelaria, Santa Cruz de Tenerife, Spain

    Javier Arranz-Durán MD

Authors
  1. Ivan Arteaga-González MD
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  2. Antonio Martín-Malagón MD
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  3. Eudaldo M. López-Tomassetti Fernández MD
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  4. Javier Arranz-Durán MD
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  5. Adolfo Parra-Blanco MD
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  6. David Nicolas-Perez MD
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  7. Enrique Quintero-Carrión MD
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  8. Hermogenes Díaz Luis MD
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  9. Angel Carrillo-Pallares MD, PhD
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Correspondence to Ivan Arteaga-González MD.

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Arteaga-González, I., Martín-Malagón, A., Fernández, E.M.LT. et al. The Use of Preoperative Endoscopic Tattooing in Laparoscopic Colorectal Cancer Surgery for Endoscopically Advanced Tumors: A Prospective Comparative Clinical Study. World J. Surg. 30, 605–611 (2006). https://doi.org/10.1007/s00268-005-0473-3

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  • DOI: https://doi.org/10.1007/s00268-005-0473-3

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