胃后壁平滑肌瘤：内镜下纹身有助于腹腔镜切除。
Posterior wall gastric leiomyoma: endoscopic tattooing facilitates laparoscopic resection.
作者信息
Allam M E, Mehta D, Zelen J, Fogler R
出版信息
JSLS. 1998 Jan-Mar;2(1):83-4.
Abstract
OBJECTIVE
To demonstrate the application of tattooing for the intraoperative localization of posterior wall gastric leiomyoma during laparoscopic resection. The preoperative injection of Indian ink in the tumor-bearing area of the posterior gastric wall eliminates the need to perform anterior wall gastrostomy or intraoperative upper endoscopic tumor localization.
METHODS
A patient with posterior wall gastric leiomyoma was marked with Indian ink during preoperative upper endoscopy. The dye was visualized intraoperatively facilitating wedge resection of the tumor-bearing area with the Endo GIA.
RESULTS
The patient had an uneventful surgery and recovery. Complete excision of the tumor was accomplished.
CONCLUSION
The preoperative endoscopic marking of gastric lesions, facilitates the intraoperative localization and resection of these lesions.
摘要
目的
展示纹身术在腹腔镜切除后壁胃平滑肌瘤术中的定位应用。术前在胃后壁肿瘤所在区域注射印度墨水，无需进行前壁胃造口术或术中上消化道内镜肿瘤定位。
方法
一名后壁胃平滑肌瘤患者在术前上消化道内镜检查时用印度墨水标记。术中可见染料，便于使用内镜切割吻合器对肿瘤所在区域进行楔形切除。
结果
患者手术顺利且恢复良好。肿瘤得以完整切除。
结论
胃病变的术前内镜标记有助于术中对这些病变进行定位和切除。
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