Imaging-Guided Preoperative Localization of Intra-Abdominal Local Recurrences of Colorectal Cancer Using the Harpoon Technique

Scand J Surg. 2018 Jun;107(2):120-123. doi: 10.1177/1457496917738921. Epub 2017 Nov 8.

Abstract

Background and aims: Intra-abdominal local recurrences of colorectal cancer can be difficult to localize and excise because they are not easily visible or palpable.

Materials and methods: We report on our experience using the computed tomography-guided harpoon technique to locate and resect these nodules in seven patients.

Results: No complications were recorded during the procedures. Six nodes were malignant and all margins were tumor free.

Conclusions: Harpoon placement for intra-abdominal local recurrences of colorectal cancer is a feasible and useful technique that provides direct localization and complete excision of lesions.

Keywords: Harpoon; abdominal nodules; colorectal local recurrence; computed tomography scan; imaging-guided detection.

MeSH terms

  • Abdominal Neoplasms / diagnostic imaging*
  • Abdominal Neoplasms / secondary
  • Abdominal Neoplasms / surgery*
  • Aged
  • Aged, 80 and over
  • Colorectal Neoplasms / diagnostic imaging
  • Colorectal Neoplasms / pathology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neoplasm Recurrence, Local / diagnostic imaging*
  • Neoplasm Recurrence, Local / surgery*
  • Positron-Emission Tomography
  • Retrospective Studies
  • Surgery, Computer-Assisted*
  • Tomography, X-Ray Computed