Efficacy and Safety of Gastrointestinal Tumour Site Marking with da Vinci-Compatible Near-Infrared Fluorescent Clips: A Case Series.

Junji Takahashi, Masashi Yoshida, Hironori Ohdaira, Yuichi Nakaseko, Keigo Nakashima, Teppei Kamada, Norihiko Suzuki, Takayuki Sato, Yutaka Suzuki

World journal of surgery 2023 Oct

filter terms:

The conventional near-infrared fluorescent clip (NIRFC) ZEOCLIP FS® has been used successfully in marking tumour sites during laparoscopic surgeries. However, this clip is difficult to observe with the Firefly imaging system equipped with the da Vinci® surgical system. We have been involved in the modification of ZEOCLIP FS® and development of da Vinci-compatible NIRFC. This is the first prospective single-centre case series study verifying the usefulness and safety of the da Vinci-compatible NIRFC. Twenty-eight consecutive patients undergoing da Vinci®-assisted surgery for gastrointestinal cancer (16 gastric, 4 oesophageal, and 8 rectal cases) between May 2021 and May 2022 were enrolled. Tumour location was identified by the da Vinci-compatible NIRFCs in 21 of 28 (75%) patients, which involved 12 gastric (75%), 4 oesophageal (100%), and 5 rectal (62%) cancer cases. No adverse events were observed. Tumour site marking with da Vinci-compatible NIRFC was feasible in 28 patients enrolled in this study. Further studies are warranted to substantiate the safety and improve the recognition rate. © 2023. The Author(s).

Citation

Junji Takahashi, Masashi Yoshida, Hironori Ohdaira, Yuichi Nakaseko, Keigo Nakashima, Teppei Kamada, Norihiko Suzuki, Takayuki Sato, Yutaka Suzuki. Efficacy and Safety of Gastrointestinal Tumour Site Marking with da Vinci-Compatible Near-Infrared Fluorescent Clips: A Case Series. World journal of surgery. 2023 Oct;47(10):2386-2391