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Volume 34(4); August 2018
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Editorial
Complete Mesocolic Excision With Central Vascular Ligation for the Treatment of Patients With Colon Cancer
Hyeong-Rok Kim
Ann Coloproctol. 2018;34(4):165-166.   Published online August 31, 2018
DOI: https://doi.org/10.3393/ac.2018.05.23
  • 4,127 View
  • 132 Download
  • 2 Web of Science
  • 2 Citations
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Citations to this article as recorded by  
  • Impact of imaging magnification on colorectal surgery: a matched analysis of a single tertiary center
    F. Puccetti, L. Cinelli, M. Molteni, L. Gozzini, U. Casiraghi, L. A. Barbieri, E. Treppiedi, A. Cossu, R. Rosati, U. Elmore
    Techniques in Coloproctology.2023; 27(11): 1057.     CrossRef
  • Extended Lymphadenectomy for Proximal Transverse Colon Cancer: Is There a Place for Standardization?
    Răzvan Cătălin Popescu, Florin Botea, Eugen Dumitru, Laura Mazilu, Luminița Gențiana Micu, Cristina Tocia, Andrei Dumitru, Adina Croitoru, Nicoleta Leopa
    Medicina.2022; 58(5): 596.     CrossRef
Review
Intersphincteric Resection for Patients With Low-Lying Rectal Cancer: Oncological and Functional Outcomes
In Ja Park, Jin Cheon Kim
Ann Coloproctol. 2018;34(4):167-174.   Published online August 31, 2018
DOI: https://doi.org/10.3393/ac.2018.08.02
  • 6,227 View
  • 329 Download
  • 23 Web of Science
  • 21 Citations
AbstractAbstract PDF
The aim of this review is to evaluate the outcomes after an intersphincteric resection (ISR) for patients with low-lying rectal cancer. Reports published in the literature regarding surgical, oncological, and functional outcomes of an ISR were reviewed. The morbidity after an ISR was 7.7%–32%, and anastomotic leakage was the most common adverse event. Local recurrence rates ranged from 0% to 12%, 5-year overall survival rates ranged from 62% to 92%, and rates of major incontinence ranged from 0% to 25.8% after an ISR. An ISR is a safe procedure for sphincter-saving rectal surgery in patients with very low rectal cancer; it does not compromise the oncological outcomes of the resection and is a valuable alternative to an abdominoperineal resection. While the functional outcomes after an ISR were found to be acceptable, the long-term functional outcome and quality of life still require careful investigation. ISRs have been performed with surgical and oncologic safety on patients with low-lying rectal cancer. However, patients must be selected very carefully for an ISR, considering the associated functional derangement and the limited extent of the resection.

Citations

Citations to this article as recorded by  
  • Oncologic outcomes of intersphincteric resection versus abdominoperineal resection for lower rectal cancer: a systematic review and meta-analysis
    Qiang Du, Wenming Yang, Jianhao Zhang, Siyuan Qiu, Xueting Liu, Yong Wang, Lie Yang, Zongguang Zhou
    International Journal of Surgery.2024; 110(4): 2338.     CrossRef
  • Does anastomotic leakage after intersphincteric resection for ultralow rectal cancer influence long-term outcomes? A retrospective observational study
    Feifan Liu, Bin Zhang, Jianbin Xiang, Guangzuan Zhuo, Yujuan Zhao, Yiming Zhou, Jianhua Ding
    Langenbeck's Archives of Surgery.2023;[Epub]     CrossRef
  • Comparative study of functional outcomes between ultra‐low anterior resection and inter‐sphincteric resection: a propensity matched analysis
    Jayesh Gori, Mufaddal Kazi, Barath Rajkumar, Prajesh Bhuta, Suman Kumar Ankathi, Ashwin Desouza, Avanish Saklani
    ANZ Journal of Surgery.2022; 92(1-2): 151.     CrossRef
  • Current status and role of robotic approach in patients with low-lying rectal cancer
    Hyo Seon Ryu, Jin Kim
    Annals of Surgical Treatment and Research.2022; 103(1): 1.     CrossRef
  • Trans-Anastomotic Drainage Tube Placement After Hand-Sewn Anastomosis in Patients Undergoing Intersphincteric Resection for Low Rectal Cancer: An Alternative Drainage Method
    Xinjian Zhong, Xiaoyu Xie, Hang Hu, Yi Li, Shunhua Tian, Qun Qian, Congqing Jiang, Xianghai Ren
    Frontiers in Oncology.2022;[Epub]     CrossRef
  • Functional outcomes of intersphincteric resection in low rectal tumors
    Osman Bozbıyık, Cemil Çalışkan, Özgün Köse, Ozan Verendağ, Berk Göktepe, Tayfun Yoldaş, Erhan Akgün, Mustafa Ali Korkut
    Turkish Journal of Surgery.2022; 38(2): 180.     CrossRef
  • Two-Stage Turnbull-Cutait Pull-Through Coloanal Anastomosis for Low Rectal Cancers
    Diwakar Pandey, Vivek Sukumar, Avanish Saklani
    JAMA Surgery.2021; 156(2): 202.     CrossRef
  • Local recurrence with intersphincteric resection in adverse histology rectal cancers. A retrospective study with competing risk analysis
    Ashwin L. Desouza, Mufaddal Kazi, Kamlesh Verma, Pavan Sugoor, Balu K. Mahendra, Avanish P. Saklani
    ANZ Journal of Surgery.2021; 91(11): 2475.     CrossRef
  • A case of effective Delorme’s procedure for colonic mucosal prolapse after intersphincteric resection
    Akihiro Kohata, Wataru Shimizu, Masatoshi Kochi, Yuji Takakura, Hideki Ohdan
    Journal of Surgical Case Reports.2021;[Epub]     CrossRef
  • Oncologic and Functional Outcomes of Pelvic Perineal Reconstruction by Perineal Colostomy and Malone Procedure After Abdominoperineal Resection
    Anthony Marinho, Nicolas Zalay, Léonor Chaltiel, Sylvain Kirzin, Antoine Philis, Jannick Selves, Nicolas Carrère, Etienne Buscail, Laurent Ghouti
    Diseases of the Colon & Rectum.2021; 64(12): 1501.     CrossRef
  • Functional outcomes after sphincter-preserving surgeries for low-lying rectal cancer: A review
    Eun Jung Park, Seung Hyuk Baik
    Precision and Future Medicine.2021; 5(4): 164.     CrossRef
  • Robotic Intersphincteric Resection for Low Rectal Cancer: Technical Controversies and a Systematic Review on the Perioperative, Oncological, and Functional Outcomes
    Guglielmo Niccolò Piozzi, Seon Hahn Kim
    Annals of Coloproctology.2021; 37(6): 351.     CrossRef
  • Surgical Treatment of Low-Lying Rectal Cancer: Updates
    Cristopher Varela, Nam Kyu Kim
    Annals of Coloproctology.2021; 37(6): 395.     CrossRef
  • Oncologic safety and bowel function after ultralow anterior resection with or without intersphincteric resection for low lying rectal cancer: Comparative cross sectional study
    Ahmad Sakr, Seung Yoon Yang, Jae Hyun Kang, Min Soo Cho, Yoon Dae Han, Byung Soh Min, Waleed Thabet, Hosam Ghazy Elbanna, Mosaad Morshed, Nam Kyu Kim
    Journal of Surgical Oncology.2020; 121(2): 365.     CrossRef
  • Simplification or Accuracy: In Assessing Functional Outcomes After Intersphincteric Resection for Low Rectal Cancer
    Kyung Jong Kim
    Annals of Coloproctology.2020; 36(3): 129.     CrossRef
  • Avoidance of Overtreatment of Rectal Cancer by Selective Chemoradiotherapy: Results of the Optimized Surgery and MRI-Based Multimodal Therapy Trial
    Reinhard Ruppert, Rainer Kube, Joachim Strassburg, Andreas Lewin, Joerg Baral, Christoph A. Maurer, Joerg Sauer, Theodor Junginger, Paul Hermanek, Susanne Merkel, Martin E. Kreis, Guenther Winde, Rena Thomasmeyer, Sigmar Stelzner, Cornelius Bambauer, Soen
    Journal of the American College of Surgeons.2020; 231(4): 413.     CrossRef
  • Latest Advances in Intersphincteric Resection for Low Rectal Cancer
    Yifan Xv, Jiajun Fan, Yuan Ding, Yang Hu, Yingjie Hu, Zhengjie Jiang, Qingsong Tao
    Gastroenterology Research and Practice.2020; 2020: 1.     CrossRef
  • Nachsorge und Behandlung funktioneller Störungen nach operativer Therapie des Rektumkarzinoms
    C. Holmer
    Der Onkologe.2020; 26(12): 1154.     CrossRef
  • Factors influencing changing bowel habits in patients undergoing sphincter‐saving surgery for rectal cancer
    Hyeonju Jeong, JeongYun Park
    International Wound Journal.2019; 16(S1): 71.     CrossRef
  • Postoperative Bowel Function After Anal Sphincter-Preserving Rectal Cancer Surgery: Risks Factors, Diagnostic Modalities, and Management
    Chris George Cura Pales, Sanghyun An, Jan Paolo Cruz, Kwangmin Kim, Youngwan Kim
    Annals of Coloproctology.2019; 35(4): 160.     CrossRef
  • Long Term Results of Modified Intersphincteric Resections for Low Rectal Cancer: A Single Center Experience
    Vlad-Olimpiu Butiurca, Călin Molnar, Copotoiu Constantin, Marian Botoncea, Teodor Ioan Bud, Zsolt Kovacs, Cătălin Satala, Simona Gurzu
    Medicina.2019; 55(12): 764.     CrossRef
Original Articles
Obstructive Ileocolitis in Patients With Obstructed Colorectal Cancer – A Matched Case Control Study
Ning-Qi Pang, Tian-Zhi Lim, Yuanpei Zhou, Ker-Kan Tan
Ann Coloproctol. 2018;34(4):175-179.   Published online August 31, 2018
DOI: https://doi.org/10.3393/ac.2017.06.14.1
  • 3,297 View
  • 86 Download
  • 1 Web of Science
  • 1 Citations
AbstractAbstract PDF
Purpose
Obstructive ileocolitis is an ulcero-inflammatory condition which typically occurs in the ileum or colon proximal to an obstructing colorectal lesion. If left unresolved, it often leads to intestinal perforation. We present a matched case control study of patients with obstructive ileocolitis caused by colorectal cancer to determine if any factors can predict this condition.
Methods
This is a retrospective review of 21 patients with obstructive colorectal cancer and histologically proven obstructive ileocolitis from 2005 to 2015 matched for age and sex with 21 controls with obstructing colorectal cancer without obstructive ileocolitis.
Results
The 21 patients with obstructive ileocolitis had a median age of 71 years (range, 52–86 years). The most common presenting symptom was abdominal pain (n = 16, 76.2%), followed by vomiting/nausea (n = 14, 66.7%) and abdominal distension (n = 12, 57.1%). Interestingly, the radiological feature of pneumatosis intestinalis was noted in only 1 case. No significant differences were observed in baseline comorbidities, clinical presentations, or tumor characteristics between the 2 groups. Patients with obstructive ileocolitis were found to have a significantly higher total leucocyte count (17.1 ± 9.4×109/L vs. 12.0 ± 6.8×109/L, P = 0.016), lower pCO2 (32.3 ± 8.2 mmHg vs. 34.8 ± 4.9 mmHg, P = 0.013), lower HCO3 (18.8 ± 4.5 mmol/L vs. 23.6 ± 2.7 mmol/L, P < 0.001), lower base excess (-6.53 ± 5.32 mmol/L vs. -0.57 ± 2.99 mmol/L, P < 0.001) and higher serum lactate levels (3.14 ± 2.19 mmol/L vs. 1.19 ± 0.91 mmol/L, P = 0.007) compared to controls. No radiological features were predictive of obstructive ileocolitis.
Conclusion
Patients with obstructive ileocolitis tend to present with metabolic acidosis with respiratory compensation, raised lactate, and worse leucocytosis. Radiological features are not useful for predicting this condition.

Citations

Citations to this article as recorded by  
  • Prognostic Value of Neutrophil-to-Lymphocyte Ratio in Obstructing Colorectal Cancer Treated by Endoscopic Stenting as a Bridge to Surgery
    Jiwei Guo, Aik Yong Chok, Hui Jun Lim, Wei Xuan Tay, Weng Kit Lye, Lasitha Bhagya Samarakoon, Emile John Tan, Ronnie Mathew
    Annals of Coloproctology.2021; 37(3): 159.     CrossRef
Complete Mesocolic Excision With Central Vascular Ligation in Comparison With Conventional Surgery for Patients With Colon Cancer – The Experiences at Two Centers
Mohamed Abdelkhalek, Ahmed Setit, Francesco Bianco, Andrea Belli, Adel Denewer, Tamer Fady Youssef, Armando Falato, Giovanni Maria Romano
Ann Coloproctol. 2018;34(4):180-186.   Published online August 31, 2018
DOI: https://doi.org/10.3393/ac.2017.08.05
  • 8,151 View
  • 215 Download
  • 14 Web of Science
  • 14 Citations
AbstractAbstract PDF
Purpose
Revolutions have occurred over the last 3 decades in the management of patients with colorectal cancer. Most advances were in rectal cancer surgery, especially after the introduction of the total mesorectal excision (TME) by Heald. However, no parallel advances regarding colon cancer surgeries have occurred. In 2009, Hohenberger introduced a new concept trying to translate the survival advantages of TME to patients with colon cancer. This relatively new concept of a complete mesocolic excision (CME) with central vascular ligation (CVL) in the management of patients with colon cancer represents an evolution in operative technique. We performed a comparative study between CME with CVL and conventional surgery for patients with colon cancer at Italian and Egyptian cancer centers, considering surgical quality and clinical outcome.
Methods
Seventy-nine Egyptian patients underwent conventional surgery (non-CME group) while 52 Italian patients underwent CME with sharp dissection between the embryological planes and CVL of the supplying vessels (CME group).
Results
Significantly better results were observed in terms of lymph node yield (CME group: 22.5 vs. non-CME group: 12; P < 0.0001) and lymph node ratio (CME group: 0.03 vs. non-CME group: 0.22; P < 0.0001). Regarding surgical morbidity, no significant difference was noted (CME group: 2 vs. non-CME group: 5; P < 0.702).
Conclusion
CME appears to be a safe procedure when performed by experienced hands through proper embryological planes. It also provides a superior specimen, with a higher lymph node yield, which consequently affects the lymph node ratio. Eventually, CME with CVL should be increasingly adopted and studied more deeply.

Citations

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  • Comparison of short-term outcomes of D2 and D3 lymph nodes dissection for colon cancer
    V. V. Balaban, M. G. Mutyk, N. V. Bondarenko, S. E. Zolotukhin, O. V. Sovpel, I. V. Sovpel, M. M. Klochkov, D. S. Zykov, I. V. Rublevskyi, I. A. Tulina, V. M. Nekoval, S. I. Barkhatov, A. E. Vasilyev, P. V. Tsarkov
    Surgery and Oncology.2024; 14(1): 51.     CrossRef
  • Clinical validation of 3D virtual modelling for laparoscopic complete mesocolic excision with central vascular ligation for proximal colon cancer
    Emma C. Kearns, Alice Moynihan, Jeffrey Dalli, Mohammad Faraz Khan, Sneha Singh, Katherine McDonald, Jessica O'Reilly, Niamh Moynagh, Christian Myles, Ann Brannigan, Jurgen Mulsow, Conor Shields, James Jones, Helen Fenlon, Leo Lawler, Ronan A. Cahill
    European Journal of Surgical Oncology.2024; 50(11): 108597.     CrossRef
  • Efficacy and Feasibility of Complete Mesocolic Excision with Central Vascular Ligation in Complicated Colorectal Cancer
    Radwan A. Torky, Mohamed Abdel-Tawab, Abadeer Rafaat, Ahmed Mubarak Hefni, Ahmed Abdelmotaleb
    Indian Journal of Surgical Oncology.2023; 14(2): 312.     CrossRef
  • Step-by-step approach with anatomical highlights in SMV-first laparoscopic right colectomy
    P. Tipmanee, S. Malakorn
    Techniques in Coloproctology.2023; 27(3): 241.     CrossRef
  • Right colon cancer: The influence of specific location on recurrence and survival
    Ana Sofia Cavadas, Eduarda Gonçalves, Carlos Costa Pereira, Jorge Rodrigues, Joaquim Costa Pereira
    Cancer Treatment and Research Communications.2023; 36: 100724.     CrossRef
  • Macroscopic Evaluation of Colon Cancer Resection Specimens
    Ross Jarrett, Nicholas P. West
    Cancers.2023; 15(16): 4116.     CrossRef
  • Laparoscopic and open complete mesocolic excision with central vascular ligation for right colonic adenocarcinoma: a retrospective comparative study
    Domenica Carmen Testa, Lorenzo Mazzola, Giuseppe di Martino, Roberto Cotellese, Federico Selvaggi
    ANZ Journal of Surgery.2022; 92(1-2): 132.     CrossRef
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    Journal of Gastrointestinal Cancer.2021; 52(3): 1010.     CrossRef
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    Ottavia De Simoni, Andrea Barina, Antonio Sommariva, Marco Tonello, Mario Gruppo, Genny Mattara, Antonio Toniato, Pierluigi Pilati, Boris Franzato
    International Journal of Colorectal Disease.2021; 36(5): 881.     CrossRef
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    European Journal of Surgical Oncology.2021; 47(7): 1541.     CrossRef
  • Complete mesocolic excision versus conventional surgery for colon cancer: A systematic review and meta‐analysis
    Jasmine Crane, Mazin Hamed, Joseph P. Borucki, Ahmed El‐Hadi, Irshad Shaikh, Adam T Stearns
    Colorectal Disease.2021; 23(7): 1670.     CrossRef
  • Complete Mesocolic Excision and D3 Lymphadenectomy versus Conventional Colectomy for Colon Cancer: A Systematic Review and Meta-Analysis
    Tamara Díaz-Vico, María Fernández-Hevia, Aida Suárez-Sánchez, Carmen García-Gutiérrez, Luka Mihic-Góngora, Daniel Fernández-Martínez, José Antonio Álvarez-Pérez, Jorge Luis Otero-Díez, José Electo Granero-Trancón, Luis Joaquín García-Flórez
    Annals of Surgical Oncology.2021; 28(13): 8823.     CrossRef
  • Central vascular ligation and mesentery based abdominal surgery
    M. Franceschilli, D. Vinci, S. Di Carlo, B. Sensi, L. Siragusa, A. Guida, P. Rossi, V. Bellato, R. Caronna, S. Sibio
    Discover Oncology.2021;[Epub]     CrossRef
  • Complete Mesocolic Excision With Central Vascular Ligation for the Treatment of Patients With Colon Cancer
    Hyeong-Rok Kim
    Annals of Coloproctology.2018; 34(4): 165.     CrossRef
Gland Attenuation, a Novel Morphological Feature of Colorectal Cancer: Evidence for an Epithelial-Mesenchymal Transition
Tae-Hwa Baek, Dong-Wook Kang, Joo-Heon Kim, Hyun-Jin Son
Ann Coloproctol. 2018;34(4):187-196.   Published online August 31, 2018
DOI: https://doi.org/10.3393/ac.2017.12.02
  • 4,306 View
  • 54 Download
  • 4 Web of Science
  • 4 Citations
AbstractAbstract PDF
Purpose
Along the invasive margin, colorectal cancer may show distinctive morphologic changes characterized by an asymmetrically attenuating tumor gland with loss of polarity. The author coined the term ‘gland attenuation (GA)’ for these peculiar changes. The aims of this study were to compare the immunoreactivity of the epithelial-mesenchymal transition (EMT) markers E-cadherin and β-catenin and thus determine whether EMTs occurs at tumor budding (TB) or GA sites and to assess the association of TB and/or GA levels with clinicopathological parameters and prognosis.
Methods
Expression patterns of E-cadherin and β-catenin in the tumor centers at GA and TB sites were examined in 101 patients with well or moderately differentiated CRCs, and the prognostic significance of TB and/or GA was statistically evaluated.
Results
GA foci, as well as TB foci, revealed loss of membranous and cytoplasmic E-cadherin expressions and aberrant β-catenin expression with reduced membranous expression and increased localization to the nucleus, suggesting that EMTs occur in GA as well as in TB. The high-TB and the TB-dominant groups were significantly correlated with advanced invasion depth, presence of lymph node metastasis, advanced pathologic staging and presence of lymphovascular invasion. The high-TB and the TB-dominant groups showed poor overall survival (OS) and recurrence-free survival (RFS), and high TB was an independent prognostic factor in the multivariate analyses for OS and RFS.
Conclusion
This study showed evidence that EMTs occurs at GA sites as well as TB foci. TB is a strong and independent prognostic factor, and TB-dominance may be an indicator of adverse clinical outcome.

Citations

Citations to this article as recorded by  
  • Tumor budding as a potential prognostic marker in determining the behavior of primary liver cancers
    Betul Unal, Mennan Yigitcan Celik, Elif Ocak Gedik, Cumhur Ibrahim Bassorgun, Gulsum Ozlem Elpek
    World Journal of Hepatology.2023; 15(6): 775.     CrossRef
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    Wei Xin, Chaoran Zhao, Longyang Jiang, Dongmei Pei, Lin Zhao, Chengpu Zhang
    Pathology and Oncology Research.2021;[Epub]     CrossRef
  • Prognostic impact of microscopic vessel invasion and visceral pleural invasion and their correlations with epithelial–mesenchymal transition, cancer stemness, and treatment failure in lung adenocarcinoma
    Shinya Neri, Toshi Menju, Terumasa Sowa, Yojiro Yutaka, Daisuke Nakajima, Masatsugu Hamaji, Akihiro Ohsumi, Toyofumi F. Chen-Yoshikawa, Toshihiko Sato, Makoto Sonobe, Akihiko Yoshizawa, Hironori Haga, Hiroshi Date
    Lung Cancer.2019; 128: 13.     CrossRef
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    Siyao Wang, Xin Zhang, Chunlu Yang, Shun Xu
    Clinical and Experimental Pharmacology and Physiology.2019; 46(10): 955.     CrossRef
Lifestyle Factors and Bowel Preparation for Screening Colonoscopy
Jong Hee Hyun, Sang Jin Kim, Jung Hun Park, Gyung Ah Wie, Jeong-seon Kim, Kyung Su Han, Byung Chang Kim, Chang Won Hong, Dae Kyung Sohn
Ann Coloproctol. 2018;34(4):197-205.   Published online August 31, 2018
DOI: https://doi.org/10.3393/ac.2018.03.13
  • 4,381 View
  • 93 Download
  • 6 Web of Science
  • 6 Citations
AbstractAbstract PDF
Purpose
The quality of bowel preparation is a major determinant of the quality of colonoscopy. This study evaluated lifestyle factors, including usual dietary style, associated with bowel preparation.
Methods
This retrospective study evaluated 1,079 consecutive subjects who underwent complete colonoscopy from December 2012 to April 2014 at National Cancer Center of Korea. Questionnaires on bowel preparation were completed by the subjects, with the quality of bowel preparation categorized as optimal (excellent or good) or suboptimal (fair, poor or inadequate). Lifestyle factors associated with bowel preparation were analyzed.
Results
The 1,079 subjects included 680 male (63.0%) and 399 female patietns (37.0%), with a mean age of 49.6 ± 8.32 years. Bowel preparation was categorized as optimal in 657 subjects (60.9%) and as suboptimal in 422 (39.1%). Univariate analyses showed no differences between groups in lifestyle factors, such as regular exercise, alcohol intake, smoking, and dietary factor. Body mass index (BMI) > 25 kg/m2 was the only factor associated with suboptimal bowel preparation on both the univariate (P = 0.007) and the multivariate (odds ratio, 1.437; 95% confidence interval, 1.104–1.871; P = 0.007) analyses.
Conclusion
Most lifestyle factors, including dietary patterns, exercise, alcohol intake and smoking, were not associated with suboptimal bowel preparation in Koreans. However, BMI > 25 kg/m2 was independently associated with suboptimal bowel preparation. More intense preparation regimens before colonoscopy can be helpful in subjects with BMI > 25 kg/m2.

Citations

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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
  • 7,117 View
  • 178 Download
  • 16 Web of Science
  • 17 Citations
AbstractAbstract 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  
  • 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
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  • 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
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    Pietro Fransvea, Michelangelo Miccini, Fabio Rondelli, Giuseppe Brisinda, Alessandro Costa, Giovanni Maria Garbarino, Gianluca Costa
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    Zoe Garoufalia, Steven D. Wexner
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Characteristics and Survival of Korean Patients With Colorectal Cancer Based on Data From the Korea Central Cancer Registry Data
Hyuk Hur, Chang-Mo Oh, Young-Joo Won, Jae Hwan Oh, Nam Kyu Kim
Ann Coloproctol. 2018;34(4):212-221.   Published online August 31, 2018
DOI: https://doi.org/10.3393/ac.2018.08.02.1
  • 5,723 View
  • 214 Download
  • 34 Web of Science
  • 35 Citations
AbstractAbstract PDF
Purpose
The incidence of colorectal cancer (CRC) in Korea has increased remarkably during the past few decades. The present study investigated the characteristics and survival of patients with CRC in Korea as a function of time, tumor distribution, stage, sex, and age.
Methods
We retrieved clinical data on 326,712 CRC patients diagnosed between 1996 and 2015 from the Korea Central Cancer Registry. The incidence and the 5-year relative survival rates were compared across time period, tumor distribution, stage, sex, and age group.
Results
The percentage of patients with colon cancer increased from 49.5% in 1996–2000 to 66.4% in 2011–2015 while the percentage of patients with rectal cancer decreased from 50.5% to 33.6%. The 5-year relative survival rates for all CRCs improved from 58.7% in 1996–2000 to 75.0% in 2011–2015. For 1996–2000, survival rates were highest for patients with left-sided colon cancers, followed by those with right-sided, transverse, rectal, rectosigmoid cancers. For 2011–2015, the survival rates for patients with left-sided cancers were highest, followed by those with rectosigmoid, rectal, transverse, and right-sided colon cancers. Patients with local and regional, but not distant, SEER (Surveillance, Epidemiology, and End Results) stage tumors experienced significantly increased survival rates for 2006–2010 and 2011–2015. The proportion of CRC patients by age decreased in the order ≥70, 60–69, 50–59, 40–49, ≤39 years whereas survival rates decreased in the order 50–59, 60–69, 40–49, ≤39, ≥70 years.
Conclusion
Korean CRC has some distinct characteristics and survival patterns in terms of tumor distribution, stage, sex, and age. With time, survival outcomes have improved for both local and regional, but not distant, stage tumors.

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Case Report
Large Cell Neuroendocrine Carcinoma of the Colon With Carcinomatosis Peritonei
Jang Jin Kim, Sung Su Park, Taek-Gu Lee, Ho-Chang Lee, Sang-Jeon Lee
Ann Coloproctol. 2018;34(4):222-225.   Published online July 26, 2018
DOI: https://doi.org/10.3393/ac.2018.02.27
  • 4,728 View
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AbstractAbstract PDF
Colorectal large-cell neuroendocrine carcinomas (NECs) are extremely rare and have very poor prognosis compared to adenocarcinomas. A 74-year-old man presented with abdominal pain, diarrhea and hematochezia. The histopathologic report of colonoscopic biopsy performed at a local clinic was a poorly differentiated carcinoma. An abdominopelvic computed scan revealed irregularly enhanced wall thickening at the sigmoid colon with regional fat stranding and lymphnode enlargement. He underwent a laparoscopic high anterior resection with selective peritonectomy for peritoneal carcinomatosis, intraoperative peritoneal irrigation chemotherapy, and early postoperative intraperitoneal chemotherapy for 5 days. The tumor had a high proliferation rate (mitotic count > 50/10 HPFs and 90% of the Ki-67 index) and lymph-node metastases had occurred. On immunohistochemistry, the tumor cells expressed CD56 and synaptophysin. Large-cell NEC was confirmed. Systemic chemotherapy with cisplatin/etoposide was done. The patient is still alive after 3 years with no evidence of recurrence.

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