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

• Published in: Journal of surgical oncology 2018-03, Vol.117 (4), p.699-706
• Main Authors: Choi, Won Jung, Moon, Jin‐Hee, Min, Jae Seok, Song, Yong Keun, Lee, Seung A, Ahn, Jin Woo, Lee, Sang Hun, Jung, Ha Chul
• Format: Article
• Language: English
• Subjects: Animal research; Cancer surgery; Colorectal cancer; early colon cancer; early gastric cancer; Feasibility studies; Gastric cancer; intraoperative tumor localization; Laparoscopy; Minimally invasive surgery; Radio frequency identification; radio frequency identification detector; Stomach; Tumors
• ISSN: 0022-4790; 1096-9098
• DOI: 10.1002/jso.24922

Background and Objectives During minimally invasive surgery (MIS), it is impossible to directly detect marked clips around tumors via palpation. Therefore, we developed a novel method and device using Radio Frequency IDentification (RFID) technology to detect the position of clips during minimally invasive gastrectomy or colectomy. Methods The feasibility of the RFID‐based detection system was evaluated in an animal experiment consisting of seven swine. The primary outcome was to successfully detect the location of RFID clips in the stomach and colon. The secondary outcome measures were to detect time (time during the intracorporeal detection of the RFID clip), and accuracy (distance between the RFID clip and the detected site). Results A total of 25 detection attempts (14 in the stomach and 11 in the colon) using the RFID antenna had a 100% success rate. The median detection time was 32.5 s (range, 15‐119 s) for the stomach and 28.0 s (range, 8‐87 s) for the colon. The median detection distance was 6.5 mm (range, 4‐18 mm) for the stomach and 6.0 mm (range, 3‐13 mm) for the colon. Conclusions We demonstrated favorable results for a RFID system that detects the position of gastric and colon tumors in real‐time during MIS.