Preoperative endoscopic tattoo marking improves lymph node retrieval in laparoscopic rectal resection: a retrospective cohort study

Imaoka Kouki; Yano Takuya; Yoshimitsu Masanori; Fukuhara Sotaro; Oshita Ko; Nakano Kanyu; Kunihiro Masaki; Idani Hitoshi; Okajima Masazumi

doi:10.3393/ac.2021.00458.0065

추천

검색

자료유형: 학술저널

저자정보: Imaoka Kouki (Department of Surgery Hiroshima City Hiroshima Citizens Hospital) Yano Takuya (Department of Surgery Hiroshima City Hiroshima Citizens Hospital) Yoshimitsu Masanori (Department of Surgery Hiroshima City Hiroshima Citizens Hospital) Fukuhara Sotaro (Department of Surgery Hiroshima City Hiroshima Citizens Hospital) Oshita Ko (Department of Surgery Hiroshima City Hiroshima Citizens Hospital) Nakano Kanyu (Department of Surgery Hiroshima City Hiroshima Citizens Hospital) Kunihiro Masaki (Department of Internal Medicine Hiroshima City Hiroshima Citizens Hospital) Idani Hitoshi (Department of Surgery Hiroshima City Hiroshima Citizens Hospital) Okajima Masazumi (Department of Surgery Hiroshima City Hiroshima Citizens Hospital)

저널정보: 대한대장항문학회 Annals of Coloproctology Annals of Coloproctolgy Vol.39 No.2

발행연도: 2023.4

수록면: 115 - 122 (8page)

DOI: 10.3393/ac.2021.00458.0065

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Purpose: Harvesting at least 12 lymph nodes (LNs) is recommended for adequate tumor staging in colon surgery. Although preoperative endoscopic tattooing has been used for primary localization of tumors, its impact on LN retrieval in colorectal surgery remains controversial. We aimed to investigate the relationship between preoperative tattooing and LN retrieval after laparoscopic rectal resection.Methods: We reviewed the records of 92 patients with rectal cancer who underwent laparoscopic resection from January 1, 2018 to December 31, 2019. Patients were categorized into 2 groups according to whether preoperative endoscopic tattooing was performed. The rate of adequate LN retrieval (≥12) was compared.Results: The tattooed and non-tattooed groups comprised 49 and 43 patients, respectively. In the tattooed and non-tattooed groups, the rates of adequate LN retrieval were 75.5% and 55.8%, respectively (P=0.046). Univariate analysis revealed that female sex, tattooing, LN metastasis status, pathological pathological stage (p-stage), and LN dissection were predictive factors for adequate LN retrieval. In the multivariate analysis, female sex (odds ratio [OR], 3.34; 95% confidence interval [CI], 1.15–9.73; P=0.027), tattooing (OR, 2.87; 95% CI, 1.03–7.94; P=0.043), and p-stage (OR, 3.34; 95% CI, 1.04–10.75; P=0.043) were independent predictive factors for adequate LN retrieval after surgery.Conclusion: This study revealed that preoperative endoscopic tattooing was statistically significantly associated with adequate LN retrieval in patients with rectal cancer who underwent laparoscopic rectal resection. Preoperative endoscopic tattooing should be considered to improve disease assessment and avoid stage migration.

#Rectal neoplasms #Lymph nodes #Tattooing

참고문헌 (0)

참고문헌 신청

참고문헌이 DBpia에서 서비스 중이라면, [참고문헌 신청]을 통해 등록해보세요

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!