scholarly journals Intraoperative Gastroscopy for Tumor Localization in Laparoscopic Surgery for Gastric Adenocarcinoma

Author(s):  
Hoon Hur ◽  
Sang-Yong Son ◽  
Yong Kwan Cho ◽  
Sang-Uk Han

2020 ◽  
Vol 38 (4_suppl) ◽  
pp. 386-386
Author(s):  
Sang Hoon Kim ◽  
Bora Keum ◽  
Han Jo Jeon ◽  
Se Hyun Jang ◽  
Kang Won Lee ◽  
...  

386 Background: Laparoscopic surgery for gastrointestinal tumors requires fast and precise tumor localization. As tumor palpation is not possible during laparoscopic surgery, tumor identification is often difficult for some cases. Despite various methods, such as tattooing or endo-clipping, have been introduced for the localization of tumors, these methods own clear limitations. To overcome the drawbacks of these conventional marking methods, we designed a magnetic marking device linked to an endo-clip(MMC, Magnetic Marking Clip) for endoscopy. We performed preoperative endoscopic clipping with MMC and analyzed the intraoperative localization efficacy and safety during laparoscopic surgery. Methods: Study enrolled 30 patients with gastric and colorectal neoplasms scheduled to undergo endoscopic clipping before laparoscopic surgery at the Korea University Medical Center, Korea, between August 2017 and June 2019. A silicone-coated high-power neodymium marking device (ring or rod type) was fixed together with an endo-clip and applied on the center of the lesion during preoperative endoscopy. During laparoscopic surgery, a detecting magnetic body was inserted through a laparoscopic trocar and was used to localize the tumor that is marked with MMC. The time needed for endoscopists to place MMC at the lesion, laparoscopic clip detection time and success rate were studied. Results: Endoscopists placed MMC within 30 seconds. It was possible to find MMC in all cases of laparoscopic surgery. Time needed to find the MMC laparoscopically was relatively shorter than the time conventionally taken just with an endo-clip itself. There was no reported dislodgement of the clip before the surgery or any other adverse events associated with the MMC procedure. Conclusions: The MMC method enabled simple and fast tumor localization and showed excellent outcomes in efficacy of tumor localization. The MMC method may help surgeons localize GI tumor lesions easily and safely during laparoscopic surgery.



2019 ◽  
Vol 1 (10) ◽  
pp. 837-840
Author(s):  
André Pereira ◽  
André Costa Pinho ◽  
Bárbara Viamonte ◽  
Elisabete Barbosa ◽  
José Barbosa


1999 ◽  
Vol 42 (6) ◽  
pp. 819-822 ◽  
Author(s):  
Marco Montorsi ◽  
Enrico Opocher ◽  
Roberto Santambrogio ◽  
Paolo Bianchi ◽  
Camilla Faranda ◽  
...  


2001 ◽  
Vol 120 (5) ◽  
pp. A169-A169 ◽  
Author(s):  
A RAJNAKOVA ◽  
P GOH ◽  
S NGOI ◽  
S MOOCHHALA ◽  
S LIM


2005 ◽  
Vol 173 (4S) ◽  
pp. 317-317 ◽  
Author(s):  
Jeffrey S. Montgomery ◽  
Willam K. Johnston ◽  
J. Stuart Wolf


2005 ◽  
Vol 173 (4S) ◽  
pp. 243-243
Author(s):  
Martin Hatzinger ◽  
Jasmin K. Badawi ◽  
Axel Häcker ◽  
Stefan Kamp ◽  
Achim Lusch
Keyword(s):  






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