Endoscopy 2018; 50(04): S118
DOI: 10.1055/s-0038-1637379
ESGE Days 2018 ePoster Podium presentations
21.04.2018 – Colorectal polyps: diagnosis
Georg Thieme Verlag KG Stuttgart · New York

THE USEFULNESS OF COLONIC TATTOOING USING ICG IN COLORECTAL TUMOR PATIENTS

HS Moon
1   Chungnam National University Hospital, Department of Gastroenterology, Daejeon, Korea, Republic of
,
JH Park
1   Chungnam National University Hospital, Department of Gastroenterology, Daejeon, Korea, Republic of
,
JS Kim
1   Chungnam National University Hospital, Department of Gastroenterology, Daejeon, Korea, Republic of
,
SH Kang
1   Chungnam National University Hospital, Department of Gastroenterology, Daejeon, Korea, Republic of
,
JK Sung
1   Chungnam National University Hospital, Department of Gastroenterology, Daejeon, Korea, Republic of
,
HY Jeong
1   Chungnam National University Hospital, Department of Gastroenterology, Daejeon, Korea, Republic of
› Author Affiliations
Further Information

Publication History

Publication Date:
27 March 2018 (online)

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Aims:

Preopreative endoscopic tattooing help to find lesions that are small in size and more movable part of colon, especially in limited operative fields of vision. The aim of this study is to prove the usefulness of colonic tattooing using ICG according to stage and type of laparoscopic surgery.

Methods:

From JAN 2012 to DEC 2016 we retrospectively screened all patients who had undergone laparoscopic colonic surgery at Chungnam National University Hospital (CNUH), 1010 patients with colorectal neoplasm were included. Lesions were tattooed by indocyanine green (ICG) the day before operation. Total tattooed group were 114 patients, Non-tattooed group were selected by propensity score matching considering for age, sex, tumor staging, operation method. (n = 228) Total 342 patients were enrolled. Between the two groups, we compare delta (Δ, Preoperative – Postoperative) hemoglobin and albumin, operation time (minutes), hospital stay, days taken for oral ingestion, transfusion, perioperative complication. Data were obtained from surgical and anesthesia records, pathologic report and medical charts

Results:

Preoperative tattooed group had a shorter operative time (174.76 ± 51.6 vs. 192.63 ± 59.9 min, P = 0.007), hospital day (9.55 ± 3.36 vs. 11.42 ± 8.23 days, P = 0.003), post-operative oral ingestion period (1.58 ± 0.96 vs. 2.81 ± 1.90 days, P < 0.001). Δhemoglobin (0.78 ± 0.76 vs. 2.2 ± 1.18, P < 0.001) and Δalbumin (0.41 ± 0.44 vs. 1.08 ± 0.39, P < 0.001) in tattooed group showed little difference. In comparison of early and advanced staging, early staging has a better results in operation time, Hospital days, oral intake, delta hemoglobin, delta albumin than advanced staging. Operation methods affect result, LAR shows similar result. But in left and right hemicolectomy both group shows no difference in operation time, hospital stay.

Conclusions:

Preoperative tattooing with ICG is useful for laparoscopic colectomy especially in early stage colon cancer and LAR