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Use of a novel shorter minimum caliber needle for creating endoscopic tattoos for preoperative localization: a comparative ex vivo study

机译:新型较短的最小口径针头用于制作术前定位的内窥镜纹身的比较:体外比较研究

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Background and study aims In colorectal cancer surgery, inadvertent deep injections during endoscopic tattooing can cause India ink leakage into the peritoneum, leading to complications or to poor visualization of the surgical plane. This ex vivo animal study compared the use of novel shorter, minimum caliber needles versus conventional injection needles for endoscopic tattooing. Animals and methods Four endoscopists used the novel needles and conventional needles to make ten endoscopic tattoos (five tattooseedle type/endoscopist) in harvested porcine rectum using a saline test-injection method. India ink leakage and the success of the tattoo (i.?e. visible,? Results India ink leakage was observed for 30?% (6/20) of the conventional needle tattoos but for none of the novel needle tattoos ( P =?0.02). Tattoos created using the novel needles were more successful than those made with the conventional needles: 18/20 (90?%) vs. 11/20 (55?%); P =?0.01. Conclusions The use of novel shorter minimum caliber needles may be safe and effective for endoscopic tattooing for preoperative localization prior to colorectal cancer surgery.
机译:背景和研究目的在大肠癌手术中,内窥镜纹身过程中不慎深注会导致印度墨水渗入腹膜,从而导致并发症或手术平面的可视性差。这项离体动物研究比较了使用新型较短,最小口径的针头与常规注射针头进行内窥镜纹身的比较。动物和方法四名内镜医师使用生理盐水注射法在收获的猪直肠中使用新型针头和常规针头在收获的猪直肠内制作了十个内窥镜纹身(五个纹身/针型/内镜医师)。印度墨水泄漏和纹身成功(即可见)结果在常规针刺纹身中观察到30%(6/20)的印度墨水泄漏,但没有发现新型针刺纹身(P =? 0.02)。使用新型针头制作的纹身比传统针头更为成功:18/20(90%)对比11/20(55 %%); P =?0.01。最小口径的针头对于结直肠癌手术前的术前定位内窥镜纹身可能是安全有效的。

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