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Preoperative Tattooing Using Indocyanine Green in Laparoscopic Colorectal Surgery

PURPOSE: The aim of the present study was to evaluate the usefulness of indocyanine green (ICG) as a preoperative marking dye for laparoscopic colorectal surgery. METHODS: Between March 2013 and March 2015, 174 patients underwent preoperative colonoscopic tattooing using 1.0 to 1.5 mL of ICG and sal...

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Autores principales: Lee, Sang Jae, Sohn, Dae Kyung, Han, Kyung Su, Kim, Byung Chang, Hong, Chang Won, Park, Sung Chan, Kim, Min Jung, Park, Byung Kwan, Oh, Jae Hwan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Coloproctology 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6140366/
https://www.ncbi.nlm.nih.gov/pubmed/30048996
http://dx.doi.org/10.3393/ac.2017.09.25
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author Lee, Sang Jae
Sohn, Dae Kyung
Han, Kyung Su
Kim, Byung Chang
Hong, Chang Won
Park, Sung Chan
Kim, Min Jung
Park, Byung Kwan
Oh, Jae Hwan
author_facet Lee, Sang Jae
Sohn, Dae Kyung
Han, Kyung Su
Kim, Byung Chang
Hong, Chang Won
Park, Sung Chan
Kim, Min Jung
Park, Byung Kwan
Oh, Jae Hwan
author_sort Lee, Sang Jae
collection PubMed
description PURPOSE: The aim of the present study was to evaluate the usefulness of indocyanine green (ICG) as a preoperative marking dye for laparoscopic colorectal surgery. METHODS: Between March 2013 and March 2015, 174 patients underwent preoperative colonoscopic tattooing using 1.0 to 1.5 mL of ICG and saline solution before laparoscopic colorectal surgery. Patients’ medical records and operation videos were retrospectively assessed to evaluate the visibility, duration, and adverse effects of tattooing. RESULTS: The mean age of the patients was 65 years (range, 34–82 years), and 63.2% of the patients were male. The median interval between tattooing and operation was 1.0 day (range, 0–14 days). Tattoos placed within 2 days of surgery were visualized intraoperatively more frequently than those placed at an earlier date (95% vs. 40%, respectively, P < 0.001). For tattoos placed within 2 days before surgery, the visualization rates by tattoo site were 98.6% (134 of 136) from the ascending colon to the sigmoid colon. The visualization rates at the rectosigmoid colon and rectum were 84% (21 of 25) and 81.3% (13 of 16), respectively (P < 0.001). No complications related to preoperative ICG tattooing occurred. CONCLUSION: Endoscopic ICG tattooing is more useful for the preoperative localization of colonic lesions than it is for rectal lesions and should be performed within 2 days before laparoscopic surgery.
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spelling pubmed-61403662018-09-28 Preoperative Tattooing Using Indocyanine Green in Laparoscopic Colorectal Surgery Lee, Sang Jae Sohn, Dae Kyung Han, Kyung Su Kim, Byung Chang Hong, Chang Won Park, Sung Chan Kim, Min Jung Park, Byung Kwan Oh, Jae Hwan Ann Coloproctol Original Article PURPOSE: The aim of the present study was to evaluate the usefulness of indocyanine green (ICG) as a preoperative marking dye for laparoscopic colorectal surgery. METHODS: Between March 2013 and March 2015, 174 patients underwent preoperative colonoscopic tattooing using 1.0 to 1.5 mL of ICG and saline solution before laparoscopic colorectal surgery. Patients’ medical records and operation videos were retrospectively assessed to evaluate the visibility, duration, and adverse effects of tattooing. RESULTS: The mean age of the patients was 65 years (range, 34–82 years), and 63.2% of the patients were male. The median interval between tattooing and operation was 1.0 day (range, 0–14 days). Tattoos placed within 2 days of surgery were visualized intraoperatively more frequently than those placed at an earlier date (95% vs. 40%, respectively, P < 0.001). For tattoos placed within 2 days before surgery, the visualization rates by tattoo site were 98.6% (134 of 136) from the ascending colon to the sigmoid colon. The visualization rates at the rectosigmoid colon and rectum were 84% (21 of 25) and 81.3% (13 of 16), respectively (P < 0.001). No complications related to preoperative ICG tattooing occurred. CONCLUSION: Endoscopic ICG tattooing is more useful for the preoperative localization of colonic lesions than it is for rectal lesions and should be performed within 2 days before laparoscopic surgery. Korean Society of Coloproctology 2018-08 2018-07-26 /pmc/articles/PMC6140366/ /pubmed/30048996 http://dx.doi.org/10.3393/ac.2017.09.25 Text en Copyright © 2018 The Korean Society of Coloproctology This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Lee, Sang Jae
Sohn, Dae Kyung
Han, Kyung Su
Kim, Byung Chang
Hong, Chang Won
Park, Sung Chan
Kim, Min Jung
Park, Byung Kwan
Oh, Jae Hwan
Preoperative Tattooing Using Indocyanine Green in Laparoscopic Colorectal Surgery
title Preoperative Tattooing Using Indocyanine Green in Laparoscopic Colorectal Surgery
title_full Preoperative Tattooing Using Indocyanine Green in Laparoscopic Colorectal Surgery
title_fullStr Preoperative Tattooing Using Indocyanine Green in Laparoscopic Colorectal Surgery
title_full_unstemmed Preoperative Tattooing Using Indocyanine Green in Laparoscopic Colorectal Surgery
title_short Preoperative Tattooing Using Indocyanine Green in Laparoscopic Colorectal Surgery
title_sort preoperative tattooing using indocyanine green in laparoscopic colorectal surgery
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6140366/
https://www.ncbi.nlm.nih.gov/pubmed/30048996
http://dx.doi.org/10.3393/ac.2017.09.25
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