Skip to main content
Erschienen in: Surgical Endoscopy 1/2021

13.01.2020 | Surgery

An advanced RFID-based system to localize gastric and colon cancers during laparoscopic surgery

verfasst von: Kang Moo Lee, Jae Seok Min, Won Jung Choi, Jin Woo Ahn, Song Woo Yoon, Young-Jin Kim

Erschienen in: Surgical Endoscopy | Ausgabe 1/2021

Einloggen, um Zugang zu erhalten

Abstract

Background

We aimed to improve the tumor localization system using radiofrequency identification (RFID) technology used during laparoscopic surgery for gastric and colorectal cancer. To this end, we developed a detection algorithm and designed improvement for the RFID clip.

Methods

To evaluate the proposed system, a swine-based animal study was conducted, followed by experiments on porcine stomachs and colons using the EASIE-R simulator. The success rates of endoscopic clipping, detection time, and detection accuracy, which is the distance between the detection point and RFID tag, were measured.

Results

Results of the in vivo swine animal study showed success in all three clippings and detections of the RFID clips. Results of the 60 RFID endoclip attempts using the EASIE-R simulator showed a total clipping success rate of 85.0% (n = 51/60; stomach, 83.3%, n = 25/30; colon, 86.7%, n = 26/30). The median detection times were 29.2 s for the stomach and 25.5 s for the colon. The median detection accuracy was 4.0 mm for the stomach and 4.5 mm for the colon.

Conclusions

We confirmed that the proposed RFID-based system showed improvements over the system of a previous study. This RFID-based system is effective at localizing gastric and colorectal tumors.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
2.
Zurück zum Zitat Ferlay J, Soerjomataram I, Dikshit R, Eser S, Mathers C, Rebelo M, Parkin DM, Forman D, Bray F, (2015) Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer 136:E359–E386CrossRef Ferlay J, Soerjomataram I, Dikshit R, Eser S, Mathers C, Rebelo M, Parkin DM, Forman D, Bray F, (2015) Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer 136:E359–E386CrossRef
3.
Zurück zum Zitat Katai H, Ishikawa T, Akazawa K Isobe Y, Miyashiro I, Oda I, Tsujitani S, Ono H, Tanabe S, Fukagawa T, Nunobe S, Kakeji Y, Nashimoto A, Registration Committee of the Japanese Gastric Cancer Association (2017) Five-year survival analysis of surgically resected gastric cancer cases in Japan: a retrospective analysis of more than 100,000 patients from the nationwide registry of the Japanese Gastric Cancer Association (2001–2007). Gastric Cancer 21:144–154 Katai H, Ishikawa T, Akazawa K Isobe Y, Miyashiro I, Oda I, Tsujitani S, Ono H, Tanabe S, Fukagawa T, Nunobe S, Kakeji Y, Nashimoto A, Registration Committee of the Japanese Gastric Cancer Association (2017) Five-year survival analysis of surgically resected gastric cancer cases in Japan: a retrospective analysis of more than 100,000 patients from the nationwide registry of the Japanese Gastric Cancer Association (2001–2007). Gastric Cancer 21:144–154
4.
Zurück zum Zitat The Information Committee of Korean Gastric Cancer Association (2016) Korean Gastric Cancer Association Nationwide Survey on Gastric Cancer in 2014. J Gastric Cancer 16:131–140CrossRef The Information Committee of Korean Gastric Cancer Association (2016) Korean Gastric Cancer Association Nationwide Survey on Gastric Cancer in 2014. J Gastric Cancer 16:131–140CrossRef
5.
Zurück zum Zitat Kim W, Kim HH, Han SU Kim MC, Hyung WJ, Ryu SW, Cho GS, Kim CY, Yang HK, Park DJ, Song KY, Lee SI, Ryu SY, Lee JH, Lee HJ; Korean Laparo-endoscopic Gastrointestinal Surgery Study (KLASS) Group (2016) Decreased morbidity of laparoscopic distal gastrectomy compared with open distal gastrectomy for stage I gastric cancer. Ann Surg 263:28–35CrossRef Kim W, Kim HH, Han SU Kim MC, Hyung WJ, Ryu SW, Cho GS, Kim CY, Yang HK, Park DJ, Song KY, Lee SI, Ryu SY, Lee JH, Lee HJ; Korean Laparo-endoscopic Gastrointestinal Surgery Study (KLASS) Group (2016) Decreased morbidity of laparoscopic distal gastrectomy compared with open distal gastrectomy for stage I gastric cancer. Ann Surg 263:28–35CrossRef
6.
Zurück zum Zitat Yano H, Monden T, Kinuta M, Nakano Y, Tono T, Matsui S, Iwazawa T, Kanoh T, Katsushima S (2001) The usefulness of laparoscopy-assisted gastrectomy in comparison with that of open distal gastrectomy for early gastric cancer. Gastric Cancer 4:93–97CrossRef Yano H, Monden T, Kinuta M, Nakano Y, Tono T, Matsui S, Iwazawa T, Kanoh T, Katsushima S (2001) The usefulness of laparoscopy-assisted gastrectomy in comparison with that of open distal gastrectomy for early gastric cancer. Gastric Cancer 4:93–97CrossRef
7.
Zurück zum Zitat Nishimura S, Oki E, Tsutsumi S, Tsuda Y, Sugiyama M, Nakashima Y, Sonoda H, Ohgaki K, Saeki H, Maehara Y (2016) Clinical significance of totally laparoscopic distal gastrectomy: a comparison of short-term outcomes relative to open and laparoscopic-assisted distal gastrectomy. Surg Laparosc Endosc Percutan Tech 26:372–376CrossRef Nishimura S, Oki E, Tsutsumi S, Tsuda Y, Sugiyama M, Nakashima Y, Sonoda H, Ohgaki K, Saeki H, Maehara Y (2016) Clinical significance of totally laparoscopic distal gastrectomy: a comparison of short-term outcomes relative to open and laparoscopic-assisted distal gastrectomy. Surg Laparosc Endosc Percutan Tech 26:372–376CrossRef
8.
Zurück zum Zitat Song KY, Park CH, Kang HC, Kim JJ, Park SM, Jun KH, Chin HM, Hur H (2008) Is totally laparoscopic gastrectomy less invasive than laparoscopy-assisted gastrectomy? Prospective, multicenter study. J Gastrointest Surg 12:1015–1021CrossRef Song KY, Park CH, Kang HC, Kim JJ, Park SM, Jun KH, Chin HM, Hur H (2008) Is totally laparoscopic gastrectomy less invasive than laparoscopy-assisted gastrectomy? Prospective, multicenter study. J Gastrointest Surg 12:1015–1021CrossRef
9.
Zurück zum Zitat Chen K, Pan Y, Zhai ST, Yu WH, Pan JH, Zhu YP, Chen QL, Wang XF (2017) Totally laparoscopic versus open total gastrectomy for gastric cancer. Medicine 96:e8061CrossRef Chen K, Pan Y, Zhai ST, Yu WH, Pan JH, Zhu YP, Chen QL, Wang XF (2017) Totally laparoscopic versus open total gastrectomy for gastric cancer. Medicine 96:e8061CrossRef
10.
Zurück zum Zitat Esen E, Aytac E, Ağcaoğlu O, Zenger S, Balik E, Baca B, Hamzaoğlu İ, Karahasanoğlu T, Buğra D (2018) Totally robotic versus totally laparoscopic surgery for rectal cancer. Surg Laparosc Endosc Percutan Tech 28:245–249PubMed Esen E, Aytac E, Ağcaoğlu O, Zenger S, Balik E, Baca B, Hamzaoğlu İ, Karahasanoğlu T, Buğra D (2018) Totally robotic versus totally laparoscopic surgery for rectal cancer. Surg Laparosc Endosc Percutan Tech 28:245–249PubMed
11.
Zurück zum Zitat Kawakatsu S, Ohashi M, Hiki N, Nunobe S, Nagino M, Sano T (2017) Use of endoscopy to determine the resection margin during laparoscopic gastrectomy for cancer. Br J Surg 104:1829–1836CrossRef Kawakatsu S, Ohashi M, Hiki N, Nunobe S, Nagino M, Sano T (2017) Use of endoscopy to determine the resection margin during laparoscopic gastrectomy for cancer. Br J Surg 104:1829–1836CrossRef
12.
Zurück zum Zitat Park DJ, Lee H, Kim SG, Jung HC, Song IS, Lee KU, Choe KJ, Yang HK (2005) Intraoperative gastroscopy for gastric surgery. Surg Endosc 19:1358–1361CrossRef Park DJ, Lee H, Kim SG, Jung HC, Song IS, Lee KU, Choe KJ, Yang HK (2005) Intraoperative gastroscopy for gastric surgery. Surg Endosc 19:1358–1361CrossRef
13.
Zurück zum Zitat Xuan Y, Hur H, Byun CS, Han SU, Cho YK (2013) Efficacy of intraoperative gastroscopy for tumor localization in totally laparoscopic distal gastrectomy for cancer in the middle third of the stomach. Surg Endosc 27:4364–4370CrossRef Xuan Y, Hur H, Byun CS, Han SU, Cho YK (2013) Efficacy of intraoperative gastroscopy for tumor localization in totally laparoscopic distal gastrectomy for cancer in the middle third of the stomach. Surg Endosc 27:4364–4370CrossRef
14.
Zurück zum Zitat Matsui H, Okamoto Y, Nabeshima K, Kondoh Y, Ogoshi K, Makuuchi H (2009) Endoscopy-assisted gastric resection: a safe and reliable procedure for tumor clearance during laparoscopic high distal or proximal gastrectomy. Surg Endosc 23:1146–1149CrossRef Matsui H, Okamoto Y, Nabeshima K, Kondoh Y, Ogoshi K, Makuuchi H (2009) Endoscopy-assisted gastric resection: a safe and reliable procedure for tumor clearance during laparoscopic high distal or proximal gastrectomy. Surg Endosc 23:1146–1149CrossRef
15.
Zurück zum Zitat Luigiano C, Ferrara F, Morace C, Mangiavillano B, Fabbri C, Cennamo V, Bassi M, Virgilio C, Consolo P (2012) Endoscopic tattooing of gastrointestinal and pancreatic lesions. Adv Ther 29:864–873CrossRef Luigiano C, Ferrara F, Morace C, Mangiavillano B, Fabbri C, Cennamo V, Bassi M, Virgilio C, Consolo P (2012) Endoscopic tattooing of gastrointestinal and pancreatic lesions. Adv Ther 29:864–873CrossRef
16.
Zurück zum Zitat Reynolds IS, Majeed MH, Soric I, Whelan M, Deasy J, McNamara DA (2016) Endoscopic tattooing to aid tumour localisation in colon cancer: the need for standardization. Ir J Med Sci 186:75–80CrossRef Reynolds IS, Majeed MH, Soric I, Whelan M, Deasy J, McNamara DA (2016) Endoscopic tattooing to aid tumour localisation in colon cancer: the need for standardization. Ir J Med Sci 186:75–80CrossRef
17.
Zurück zum Zitat Choi Y, Kim KG, Kim JK, Nam KW, Kim HH, Sohn DK (2011) A novel endoscopic fluorescent clip for the localization of gastrointestinal tumors. Surg Endosc 25:2372–2377CrossRef Choi Y, Kim KG, Kim JK, Nam KW, Kim HH, Sohn DK (2011) A novel endoscopic fluorescent clip for the localization of gastrointestinal tumors. Surg Endosc 25:2372–2377CrossRef
18.
Zurück zum Zitat Takeyama H, Hata T, Nishimura J, Nonaka R, Uemura M, Haraguchi N, Takemasa I, Mizushima T, Yamamoto H, Doki Y, Mori M (2014) A novel endoscopic fluorescent clip visible with near-infrared imaging during laparoscopic surgery in a porcine model. Surg Endosc 28:1984–1990CrossRef Takeyama H, Hata T, Nishimura J, Nonaka R, Uemura M, Haraguchi N, Takemasa I, Mizushima T, Yamamoto H, Doki Y, Mori M (2014) A novel endoscopic fluorescent clip visible with near-infrared imaging during laparoscopic surgery in a porcine model. Surg Endosc 28:1984–1990CrossRef
19.
Zurück zum Zitat Wada Y, Miyoshi N, Ohue M, Yasui M, Fujino S, Tomokuni A, Sugimura K, Akita H, Moon JH, Takahashi H, Kobayashi S, Omori T, Miyata H, Fujiwara Y, Yano M, Sakon M (2016) Endoscopic marking clip with an IC tag and receiving antenna to detect localization during laparoscopic surgery. Surg Endosc 31:3056–3060CrossRef Wada Y, Miyoshi N, Ohue M, Yasui M, Fujino S, Tomokuni A, Sugimura K, Akita H, Moon JH, Takahashi H, Kobayashi S, Omori T, Miyata H, Fujiwara Y, Yano M, Sakon M (2016) Endoscopic marking clip with an IC tag and receiving antenna to detect localization during laparoscopic surgery. Surg Endosc 31:3056–3060CrossRef
20.
Zurück zum Zitat Choi WJ, Moon JH, Min JS, Song YK, Lee SA, Ahn JW, Lee SH, Jung HC (2017) Real-time detection system for tumor localization during minimally invasive surgery for gastric and colon cancer removal: In vivo feasibility study in a swine model. J Surg Oncol 117:699–706CrossRef Choi WJ, Moon JH, Min JS, Song YK, Lee SA, Ahn JW, Lee SH, Jung HC (2017) Real-time detection system for tumor localization during minimally invasive surgery for gastric and colon cancer removal: In vivo feasibility study in a swine model. J Surg Oncol 117:699–706CrossRef
21.
Zurück zum Zitat Kojima F, Sato T, Tsunoda S, Takahata H, Hamaji M, Komatsu T, Okada M, Sugiura T, Oshiro O, Sakai Y, Date H, Nakamura T, (2014) Development of a novel marking system for laparoscopic gastrectomy using endoclips with radio frequency identification tags: feasibility study in a canine model. Surg Endosc 28:2752–2759CrossRef Kojima F, Sato T, Tsunoda S, Takahata H, Hamaji M, Komatsu T, Okada M, Sugiura T, Oshiro O, Sakai Y, Date H, Nakamura T, (2014) Development of a novel marking system for laparoscopic gastrectomy using endoclips with radio frequency identification tags: feasibility study in a canine model. Surg Endosc 28:2752–2759CrossRef
22.
Zurück zum Zitat Joo HY, Lee BE, Choi CI, Kim DH, Kim GH, Jeon TY, Kim DH, Ahn S (2018) Tumor localization using radio-frequency identification clip marker: experimental results of an ex vivo porcine model. Surg Endosc 2018 [Preprint]. doi: 10.1007/s00464–018–6423–6 Joo HY, Lee BE, Choi CI, Kim DH, Kim GH, Jeon TY, Kim DH, Ahn S (2018) Tumor localization using radio-frequency identification clip marker: experimental results of an ex vivo porcine model. Surg Endosc 2018 [Preprint]. doi: 10.1007/s00464–018–6423–6
23.
Zurück zum Zitat Reicher JJ, Reicher MA, Thomas M, Petcavich R, Petcavich R (2013) Radiofrequency identification tags for preoperative tumor localization: proof of concept. AJR Am J Roentgenol 191:1359–1365CrossRef Reicher JJ, Reicher MA, Thomas M, Petcavich R, Petcavich R (2013) Radiofrequency identification tags for preoperative tumor localization: proof of concept. AJR Am J Roentgenol 191:1359–1365CrossRef
24.
Zurück zum Zitat Yutaka Y, Sato T, Zhang J, Matsushita K, Aiba H, Muranishi Y, Sakaguchi Y, Komatsu T. Kojima F, Nakamura T, Date H, (2016) Localizing small lung lesions in video-assisted thoracoscopic surgery via radiofrequency identification marking. Surg Endosc 31:3353–3362CrossRef Yutaka Y, Sato T, Zhang J, Matsushita K, Aiba H, Muranishi Y, Sakaguchi Y, Komatsu T. Kojima F, Nakamura T, Date H, (2016) Localizing small lung lesions in video-assisted thoracoscopic surgery via radiofrequency identification marking. Surg Endosc 31:3353–3362CrossRef
25.
Zurück zum Zitat Kojima F, Sato T, Takahata H, Okada M, Sugiura T, Oshiro O, Date H, Nakamura T (2014) A novel surgical marking system for small peripheral lung nodules based on radio frequency identification technology: Feasibility study in a canine model. J Thorac Cardiovasc Surg 147:1384–1389CrossRef Kojima F, Sato T, Takahata H, Okada M, Sugiura T, Oshiro O, Date H, Nakamura T (2014) A novel surgical marking system for small peripheral lung nodules based on radio frequency identification technology: Feasibility study in a canine model. J Thorac Cardiovasc Surg 147:1384–1389CrossRef
26.
Zurück zum Zitat Lee SH, Gromski MA, Derevianko A, Jones DB, Pleskow DK, Sawhney M, Chuttani R, Matthes K (2010) Efficacy of a prototype endoscope with two deflecting working channels for endoscopic submucosal dissection: a prospective, comparative, ex vivo study. Gastrointest Endosc 72:155–160CrossRef Lee SH, Gromski MA, Derevianko A, Jones DB, Pleskow DK, Sawhney M, Chuttani R, Matthes K (2010) Efficacy of a prototype endoscope with two deflecting working channels for endoscopic submucosal dissection: a prospective, comparative, ex vivo study. Gastrointest Endosc 72:155–160CrossRef
27.
Zurück zum Zitat Eun JY, Jung Y, Lee TH, Cho YS, Rhee HS, Jung YK, Han JH, Kim DS, Chung IK, Park SH, Kim SJ (2017) The efficacy of a novel tissue grasper-clips technique for large perforations of the sigmoid colon in an experimental animal model (Video). Dig Dis Sci 62:913–921CrossRef Eun JY, Jung Y, Lee TH, Cho YS, Rhee HS, Jung YK, Han JH, Kim DS, Chung IK, Park SH, Kim SJ (2017) The efficacy of a novel tissue grasper-clips technique for large perforations of the sigmoid colon in an experimental animal model (Video). Dig Dis Sci 62:913–921CrossRef
Metadaten
Titel
An advanced RFID-based system to localize gastric and colon cancers during laparoscopic surgery
verfasst von
Kang Moo Lee
Jae Seok Min
Won Jung Choi
Jin Woo Ahn
Song Woo Yoon
Young-Jin Kim
Publikationsdatum
13.01.2020
Verlag
Springer US
Erschienen in
Surgical Endoscopy / Ausgabe 1/2021
Print ISSN: 0930-2794
Elektronische ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-020-07371-4

Weitere Artikel der Ausgabe 1/2021

Surgical Endoscopy 1/2021 Zur Ausgabe

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

Karpaltunnelsyndrom BDC Leitlinien Webinare
CME: 2 Punkte

Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

Radiusfraktur BDC Leitlinien Webinare
CME: 2 Punkte

Das Webinar beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Appendizitis BDC Leitlinien Webinare
CME: 2 Punkte

Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.