Preoperative Localization of Colorectal Tumors with Endoscopic Tattooing for Laparoscopic Surgery
|Ibrahim-Abdelaziz D1*, Monzur F2, Abdi T3, Jackson P4 and Haddad N5|
|1Department of Gastroenterology, Medstar Georgetown University Hospital, Washington, DC, US|
|2Department of Gastroenterology, Stonybrook University Hospital, Stonybrook, New York, USA|
|3Department of Gastroenterology, Yale-New Haven Hospital, New Haven, Connecticut, USA|
|4Department of Surgery, Medstar Georgetown University Hospital, Washington, DC, USA|
|5Department of Gastroenterology, Medstar Georgetown University Hospital, Washington, DC, USA|
|Corresponding Author :||Ibrahim-Abdelaziz D
3800 Reservior Road, Second Floor Main Building, Washington, DC 20007
E-mail: [email protected]
|Received May 22, 2015; Accepted June 22, 2015; Published June 25, 2015|
|Citation: Abdelaziz DI, Monzur F, Abdi T, Jackson P, Haddad N (2015) Preoperative Localization of Colorectal Tumors with Endoscopic Tattooing for Laparoscopic Surgery. J Clin Trials 6:227. doi:10.4172/2167-0870.1000227|
|Copyright: © 2015 Martin F Sprinzl, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
Background: Effective localization of colorectal tumors with a visible marker is necessary for adequate resection in laparoscopic surgery. Tattooing of these tumors by endoscopy is a widely utilized method for proper localization.
Methods: A retrospective study of 50 patients who underwent tattooing with colonoscopy prior to colorectal surgery over a 12-year period was conducted. One patient was excluded from analysis due to incomplete data. Tattooing was performed using SPOT endoscopic marker (GI Supply, Camp Hill, PA), which is a prepackaged biocompatible agent containing highly purified, very fine carbon particles.
Results: 49 patients received endoscopic tattooing with colonoscopy. Of these 49 patients, 37 patients had tattooing identified in either surgery and/or surgical pathology specimens. 12 lesions were not identified on both surgery and pathology. No tattoo related complications were noted. There were no conversions from laparoscopic to open surgical resection due to poorly visualized tattooed lesions. No patients underwent intra-operative colonoscopy to confirm accurate tattoo placement.
Conclusions: All colonic lesions that appear to be malignant should be tattooed during endoscopy to improve surgical localization. Tattoo endoscopy is a safe and effective method for preoperative tumor localization.