一种用于标记结肠和直肠息肉切除部位的两步法。
A two-step method for marking polypectomy sites in the colon and rectum.
作者信息
Sawaki Akira, Nakamura Tsuneya, Suzuki Takashi, Hara Kazuo, Kato Tetsuya, Kato Tomoyuki, Hirai Takashi, Kanemitsu Yukihide, Okubo Kenji, Tanaka Kyosuke, Moriyama Ichiro, Kawai Hiroki, Katsurahara Masaki, Matsumoto Kakuya, Yamao Kenji
机构信息
Department of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan.
出版信息
Gastrointest Endosc. 2003 May;57(6):735-7. doi: 10.1067/mge.2003.174.
BACKGROUND
Intraoperative localization of polypectomy sites is critical for laparoscopic and open surgery, but conventional methods of marking the colorectum are sometimes unreliable. A new two-step method for marking polypectomy sites for identification during laparoscopic and open operations is described.
METHODS
Eighteen patients with postpolypectomy lesions necessitating preoperative marking were enrolled in this study. A physiologic saline solution was endoscopically injected into the submucosa to produce an artificial submucosal elevation (pseudopolyp). A small volume of India ink was then injected into the submucosal elevation (pseudopolyp) with a separate needle.
RESULTS
The two-step method was easily applied for all lesions without complication. At surgery, all lesions were immediately visualized.
CONCLUSION
The two-step tattooing method proved to be easy, safe, and accurate for marking polypectomy sites.
背景
息肉切除部位的术中定位对腹腔镜手术和开放手术至关重要，但传统的结直肠标记方法有时并不可靠。本文介绍了一种用于在腹腔镜手术和开放手术中标记息肉切除部位以进行识别的新两步法。
方法
本研究纳入了18例因息肉切除术后病变需要术前标记的患者。通过内镜将生理盐水注入黏膜下层以形成人工黏膜下隆起（假息肉）。然后用另一根针将少量印度墨水注入黏膜下隆起（假息肉）。
结果
两步法可轻松应用于所有病变，且无并发症。手术时，所有病变均能立即被看到。
结论
两步纹身法被证明对于标记息肉切除部位简便、安全且准确。
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