Annals of Coloproctology

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Minimally invasive surgery

Preoperative localization of potentially invisible colonic lesions on the laparoscopic operation field: using autologous blood tattooing: Ji Yeon Mun, Hyunjoon An, Ri Na Yoo, Hyeon-Min Cho, Bong-Hyeon Kye; Ann Coloproctol. 2024;40(3):225-233. Published online June 19, 2024; DOI: https://doi.org/10.3393/ac.2023.00059.0008

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Purpose
Preoperative colonoscopic (POC) localization is recommended for patients scheduled for elective laparoscopic colectomy for early colon cancer. Among the various localization method, POC tattooing localization has been widely used. Several dyes have been used for tattooing, but dye has disadvantages, including foreign body reactions. For this reason, we have used autologous blood tattooing for POC localization. This study aimed to evaluate the safety and efficacy of the autologous blood tattooing method.
Methods
This study included patients who required POC localization of the colonic neoplasm among the patients who were scheduled for elective colon resection. The indication for localization was early colon cancer (clinically T1 or T2) or colonic neoplasms that could not be resected endoscopically. POC autologous blood tattooing was performed after saline injection, and 2 hemoclips were applied.
Results
A total of 45 patients who underwent autologous blood tattooing and laparoscopic colectomy were included in this study. All POC localization sites were visible in the laparoscopic view. POC localization sites showed almost perfect agreement with intraoperative surgical findings. There were no complications like bowel perforation, peritonitis, hemoperitoneum, and mesenteric hematoma.
Conclusion
Autologous blood is a safe and effective agent for localizing materials that can replace previous dyes. However, a large prospective case-control study is required for the routine application of this procedure in early colon cancer or colonic neoplasms.

Citations

Citations to this article as recorded by

Meeting report on the 8th Asian Science Editors’ Conference and Workshop 2024
Eun Jung Park
Science Editing.2025; 12(1): 66. CrossRef

Preoperative Tattooing Using Indocyanine Green in Laparoscopic Colorectal Surgery: Sang Jae Lee, Dae Kyung Sohn, Kyung Su Han, Byung Chang Kim, Chang Won Hong, Sung Chan Park, Min Jung Kim, Byung Kwan Park, Jae Hwan Oh; Ann Coloproctol. 2018;34(4):206-211. Published online July 26, 2018; DOI: https://doi.org/10.3393/ac.2017.09.25

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Abstract PDF

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.

Citations

Citations to this article as recorded by

Enhancing remanent magnetization of injectable hydrogels improves realtime transluminal localization of tumor in hollow soft viscera
Junnan Gu, Yuxuan Sun, Tianyi Zhang, Zhenxing Jiang, Falong Zou, Denglong Cheng, Wentai Cai, Hao Wen, Shenghe Deng, Jun Wang, Shuang Zhao, Quanliang Cao, Yinghao Cao, Zichun Yang, Liang Li, Jun Ouyang, Kailin Cai
Bioactive Materials.2026; 55: 410. CrossRef
Accuracy evaluation of preoperative indocyanine green tattooing and intraoperative colonoscopy in determining surgical resection margins for left-sided colorectal cancer: a retrospective study in Korea
Byung-Soo Park, Sung Hwan Cho, Gyung Mo Son, Hyun Sung Kim, Jin Ook Jang, Dae Gon Ryu, Su Jin Kim, Su Bum Park, Hyung Wook Kim
Journal of Minimally Invasive Surgery.2025; 28(1): 19. CrossRef
Beyond diagnosis: how advanced imaging technologies are shaping modern surgery
Taner Shakir, Dominic Atraszkiewicz, Mohamed Hassouna, Tom Pampiglione, Manish Chand
Artificial Intelligence Surgery.2025; 5(2): 270. CrossRef
Indocyanine Green Tattooing During Colonoscopy as a Guide to Laparoscopic Colorectal Cancer Surgery: A Literature Review
Marzia Varanese, Stefano Arcieri, Augusto Lauro, Cristina Panetta, Chiara Eberspacher, Rossella Palma, Domenico Mascagni, Stefano Pontone
Surgical Innovation.2024; 31(1): 103. CrossRef
Indocyanine-coated fluorescent clips for localization of gastrointestinal tumors
Kyonglin Park, Hongrae Kim, Hyoung-Jun Kim, Yongdoo Choi, Sung-Jae Park, Jae-Suk Park, Min-Kyu Choi, Dae Kyung Sohn
Journal of Innovative Medical Technology.2024; 2(1): 20. CrossRef
Preoperative localization of potentially invisible colonic lesions on the laparoscopic operation field: using autologous blood tattooing
Ji Yeon Mun, Hyunjoon An, Ri Na Yoo, Hyeon-Min Cho, Bong-Hyeon Kye
Annals of Coloproctology.2024; 40(3): 225. CrossRef
A Green Lantern for the Surgeon: A Review on the Use of Indocyanine Green (ICG) in Minimally Invasive Surgery
Pietro Fransvea, Michelangelo Miccini, Fabio Rondelli, Giuseppe Brisinda, Alessandro Costa, Giovanni Maria Garbarino, Gianluca Costa
Journal of Clinical Medicine.2024; 13(16): 4895. CrossRef
Indocyanine Green Fluorescence Guided Surgery in Colorectal Surgery
Zoe Garoufalia, Steven D. Wexner
Journal of Clinical Medicine.2023; 12(2): 494. CrossRef
Preoperative tumor marking with indocyanine green (ICG) prior to minimally invasive colorectal cancer: a systematic review of current literature
Michael K. Konstantinidis, Argyrios Ioannidis, Panteleimon Vassiliu, Nikolaos Arkadopoulos, Ioannis S. Papanikolaou, Konstantinos Stavridis, Gaetano Gallo, Dimitrios Karagiannis, Manish Chand, Steven D. Wexner, Konstantinos Konstantinidis
Frontiers in Surgery.2023;[Epub] CrossRef
Assessment of Autologous Blood marker localIzation and intraoperative coLonoscopy localIzation in laparoscopic colorecTal cancer surgery (ABILITY): a randomized controlled trial
Ke-hui Zhang, Jing-ze Li, Hai-bin Zhang, Ren-hao Hu, Xi-mao Cui, Tao Du, Liang Zheng, Shun Zhang, Chun Song, Mei-dong Xu, Xiao-hua Jiang
BMC Cancer.2023;[Epub] CrossRef
Indocyanine Green tattooing for marking the caudal excision margin of a full-thickness vaginal endometriotic nodule
S Khazali, B Mondelli, K Fleischer, M Adamczyk
Facts, Views and Vision in ObGyn.2023; 15(1): 89. CrossRef
Indocyanine green dye and its application in gastrointestinal surgery: The future is bright green
Zavier Yongxuan Lim, Swetha Mohan, Sunder Balasubramaniam, Saleem Ahmed, Caroline Ching Hsia Siew, Vishal G Shelat
World Journal of Gastrointestinal Surgery.2023; 15(9): 1841. CrossRef
Tumor Segmentation in Colorectal Ultrasound Images Using an Ensemble Transfer Learning Model: Towards Intra-Operative Margin Assessment
Freija Geldof, Constantijn W. A. Pruijssers, Lynn-Jade S. Jong, Dinusha Veluponnar, Theo J. M. Ruers, Behdad Dashtbozorg
Diagnostics.2023; 13(23): 3595. CrossRef
Fluorescence Imaging in Colorectal Surgery: An Updated Review and Future Trends
Paulina Daniluk, Natalia Mazur, Maciej Swierblewski, Manish Chand, Michele Diana, Karol Polom
Surgical Innovation.2022; 29(4): 479. CrossRef
Promising Novel Technique for Tumor Localization in Laparoscopic Colorectal Surgery Using Indocyanine Green-Coated Endoscopic Clips
Dong Woon Lee, Dae Kyung Sohn, Kyung Su Han, Chang Won Hong, Hyoung Chul Park, Jae Hwan Oh
Diseases of the Colon & Rectum.2021; 64(1): e9. CrossRef
Digital dynamic discrimination of primary colorectal cancer using systemic indocyanine green with near-infrared endoscopy
Jeffrey Dalli, Eamon Loughman, Niall Hardy, Anwesha Sarkar, Mohammad Faraz Khan, Haseeb A. Khokhar, Paul Huxel, Donal F. O’Shea, Ronan A. Cahill
Scientific Reports.2021;[Epub] CrossRef
Endoscopic Preoperative Tattooing and Marking in the Gastrointestinal Tract: A Systematic Review of Alternative Methods
Manuel Barberio, Margherita Pizzicannella, Giovanni Guglielmo Laracca, Mahdi Al-Taher, Andrea Spota, Jacques Marescaux, Eric Felli, Michele Diana
Journal of Laparoendoscopic & Advanced Surgical Techniques.2020; 30(9): 953. CrossRef
The Usefulness of Preoperative Colonoscopic Tattooing with Autologous Blood for Localization in Laparoscopic Colorectal Surgery
Ui Do Yeo, Nak Song Sung, Seung Jae Roh, Won Jun Choi, Kyung Ho Song, In Seok Choi, Dae Sung Yoon, Sang Eok Lee, Ju Ik Moon, Seong Uk Kwon, In Eui Bae, Seung Jae Lee
The Journal of Minimally Invasive Surgery.2020; 23(3): 114. CrossRef
Preoperative Colonoscopic Tattooing Using a Direct Injection Method with Indocyanine Green for Localization of Colorectal Tumors: An Efficacy and Safety Comparison Study
Young Jin Kim, Ji Won Park, Han-Ki Lim, Yoon-Hye Kwon, Min Jung Kim, Eun Kyung Choe, Sang Hui Moon, Seung-Bum Ryoo, Seung-Yong Jeong, Kyu Joo Park
The Journal of Minimally Invasive Surgery.2020; 23(4): 186. CrossRef
Robotic excision of a colonic neoplasm with ICG as a tumor localizer and colonoscopic assistance
S. Atallah, A. Oldham, A. Kondek, S. Larach
Techniques in Coloproctology.2019; 23(6): 573. CrossRef

Clinical Characteristics of Ischemic Colitis According to Location: Ho Jin Chang, Chul Woon Chung, Kwang Hyun Ko, Jong Woo Kim; J Korean Soc Coloproctol. 2011;27(6):282-286. Published online December 31, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.6.282

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42 Download
11 Citations

Abstract PDF

Purpose

The aim of this study was to analyze various clinical characteristics of ischemic colitis according to its location.

Methods

The medical records of 92 cases of gastrointestinal ischemic colitis (IC) diagnosed at Bundang CHA Hospital from 1995 to 2008 were reviewed and analyzed retrospectively. The patients were diagnosed by using colonoscopic biopsies or laparotomy findings. The patients were divided into two groups, right and left, according to the main involvement area of the IC at the embryologic boundary line of the distal transverse colon, and the two groups were compared as to clinical characteristics and co-morbid diseases.

Results

Left IC was present in 59 patients (64.1%) and right IC in 33 patients (35.9%). No differences between the two groups in terms of clinical characteristics, cardiovascular disease and diabetes mellitus were observed. However, in 16 cases with renal failure, 10 patient had right IC and 6 patients had left IC, and this difference had statistical significance (P = 0.014). Among the 16, the 11 patients requiring hemodialysis included 8 with right IC (24.2%) and 3 with left IC (5.1%; P = 0.009). Among the 19 cases of severe IC requiring surgical treatment or involving mortality, irrespective of surgery, 11 patients showed right IC and 8 patients showed left IC (P = 0.024).

Conclusion

Right-side ischemic colitis was significantly associated with renal failure and disease severity, so patients with right-side colon ischemia should be more carefully observed and managed.

Citations

Citations to this article as recorded by

Ischemic Colitis in a Young Female Following Herbal Supplement Ingestion
Lorraine I Chong Tai, Syed Ahmed, Rajiv R Chokshi
Cureus.2023;[Epub] CrossRef
Colitis isquémica. ¿La localización en el colon derecho tiene peor pronóstico?
Vincenzo Vigorita, Marta Paniagua García-Señoráns, Gianluca Pellino, Paula Troncoso Pereira, Alberto de San Ildefonso Pereira, Enrique Moncada Iribarren, Raquel Sánchez-Santos, Jose Enrique Casal Núñez
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Ischemic colitis. Does right colon location mean worst prognosis?
Vincenzo Vigorita, Marta Paniagua García-Señoráns, Gianluca Pellino, Paula Troncoso Pereira, Alberto de San Ildefonso Pereira, Enrique Moncada Iribarren, Raquel Sánchez-Santos, Jose Enrique Casal Núñez
Cirugía Española (English Edition).2022; 100(2): 74. CrossRef
Real‐world multicentre experience of the pathological features of colonic ischaemia and their relationship to symptom duration, disease distribution and clinical outcome
M. Fenster, P. Feuerstadt, L. J. Brandt, M. S. Mansoor, T. Huisman, O. C. Aroniadis
Colorectal Disease.2018; 20(12): 1132. CrossRef
Colonic ischemia
Ayah Oglat, Eamonn M.M. Quigley
Current Opinion in Gastroenterology.2017; 33(1): 34. CrossRef
The predictors of the severity of ischaemic colitis: a systematic review of 2823 patients from 22 studies
D. Sun, C. Wang, L. Yang, M. Liu, F. Chen
Colorectal Disease.2016; 18(10): 949. CrossRef
ACG Clinical Guideline: Epidemiology, Risk Factors, Patterns of Presentation, Diagnosis, and Management of Colon Ischemia (CI)
Lawrence J Brandt, Paul Feuerstadt, George F Longstreth, Scott J Boley
American Journal of Gastroenterology.2015; 110(1): 18. CrossRef
Ischemic colitis: spectrum of CT findings, sites of involvement and severity
Cinthia Cruz, Hani H. Abujudeh, Rosalynn M. Nazarian, James H. Thrall
Emergency Radiology.2015; 22(4): 357. CrossRef
CT Findings in Acute, Subacute, and Chronic Ischemic Colitis: Suggestions for Diagnosis
Francesca Iacobellis, Daniela Berritto, Dominik Fleischmann, Giuliano Gagliardi, Antonio Brillantino, Maria Antonietta Mazzei, Roberto Grassi
BioMed Research International.2014; 2014: 1. CrossRef
Intestinal Ischemia: US-CT findings correlations
A Reginelli, EA Genovese, S Cappabianca, F Iacobellis, D Berritto, P Fonio, F Coppolino, R Grassi
Critical Ultrasound Journal.2013;[Epub] CrossRef
Severe hyperkalemia following colon diversion surgery in a patient undergoing chronic hemodialysis: a case report
Nina Kononowa, Michael J Dickenmann, Min Jeong Kim
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