内镜下纹身：标准化指南和方案的重要性及必要性。
Endoscopic tattoo: the importance and need for standardised guidelines and protocol.
作者信息
Yang Mei, Pepe Daniel, Schlachta Christopher M, Alkhamesi Nawar A
机构信息
1 Canadian Surgical Technologies & Advanced Robotics (CSTAR), London Health Sciences Centre and Department of Surgery, Schulich School of Medicine and Dentistry, Western University, Ontario, ON N6A 3K7, Canada.
2 Department of Family Medicine, Western University, Ontario, ON N6A 3K7, Canada.
出版信息
J R Soc Med. 2017 Jul;110(7):287-291. doi: 10.1177/0141076817712244. Epub 2017 May 24.
Abstract
Preoperative endoscopic tattoo is becoming more important with the advent of minimally invasive surgery. Current practices are variable and are operator-dependent. There are no evidence-based guidelines to aid endoscopists in clinical practice. Furthermore, there are still a number of issues with endoscopic tattoo including poor intraoperative visualisation, complications from tattooing and inaccurate documentation leading to the need for intraoperative endoscopy, prolonged operative time and reoperation due to lack of oncologic resection. This review aims to collate and summarise evidence for the best practice of endoscopic tattoo for colorectal lesions in order to provide guidance for endoscopists.
摘要
随着微创手术的出现，术前内镜下纹身变得越来越重要。目前的做法各不相同，且依赖于操作者。在临床实践中，尚无循证指南来帮助内镜医师。此外，内镜下纹身仍存在一些问题，包括术中视野不佳、纹身并发症以及记录不准确，从而导致需要术中内镜检查、手术时间延长以及因肿瘤切除不彻底而需要再次手术。本综述旨在整理和总结结直肠病变内镜下纹身最佳实践的证据，以便为内镜医师提供指导。
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本文引用的文献
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Should all endoscopically excised rectal polyps be tattooed? A plea for localization.所有经内镜切除的直肠息肉都应该进行标记吗？定位的诉求。
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Colorectal polyps: when should we tattoo?结直肠息肉：何时需要进行染色标记？
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Leaving a mark: the frequency and accuracy of tattooing prior to laparoscopic colorectal surgery.留痕：腹腔镜结直肠手术前纹身的频率和准确性。
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The use of preoperative endoscopic tattooing in laparoscopic colorectal cancer surgery for endoscopically advanced tumors: a prospective comparative clinical study.术前内镜下纹身术在腹腔镜结直肠癌手术治疗内镜下进展期肿瘤中的应用：一项前瞻性对比临床研究。
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