![]() ![]() In colorectal surgery, FCM provides better visibility than the conventional India ink tattooing method and is a simple and safe marking method. No adverse events were observed in the FCM group. In the group with India ink tattoos, contamination of the surgical field was observed in seven cases (3.20%). Marking was visually confirmed in 80 patients in the FCM group (93.02%) and in 166 patients in the India ink tattoo group (75.80%) (p = 0.0006). Patient backgrounds, marking visibility, adverse effects, and early postoperative results were retrospectively compared between groups. Endoscopic marking was completed in the FCM group by the day before surgery, and fluorescence was evaluated during surgery with a fluorescent laparoscopic system. We classified the patients into the FCM group (86 patients) and the India ink tattoo group (219 patients). We enrolled 305 patients with colorectal tumors who underwent colorectal surgery after preoperative marking from January 2017 to April 2022. We tested the usefulness of FCM by retrospectively comparing cases in which FCM was used with cases in which conventional ink marking was used. At our hospital, we introduced fluorescent clip marking (FCM) using the Zeoclip FS ®, an endoscopic clip developed using near-infrared fluorescent resin. Although it is often invisible, the ink may be sprayed into the peritoneal cavity and contaminate the surgical field. Preoperative endoscopic India ink marking is a widespread practice, but local injection of ink is an unstable procedure. Identifying tumor location is important in colorectal tumor resection.
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