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Development of a novel marking system for laparoscopic gastrectomy using endoclips with radio frequency identification tags: feasibility study in a canine model

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Abstract

Background

Intraoperative identification of early gastric cancer is difficult to conduct during laparoscopic procedures. In this study, we investigated the feasibility and accuracy of a newly developed marking system using endoclips with radio frequency identification (RFID) tags in a canine model.

Methods

RFID is a wireless near field communication technology. Among the open frequency bands available for medical use, 13.56 MHz is suitable for a surgical marking system because of the similar and linear signal decay both in air and in biological tissues. The proposed system consists of four parts: (a) endoclips with RFID tags, (b) endoclip applier equipment, (c) laparoscopic locating probe, and (d) signal processing units with audio interface. In the experimental setting using canine models, RFID-tagged endoclips were applied to the mucosa of each dog’s stomach. During the subsequent operation, the clips with RFID tags placed in five dogs were located by the detection of the RFID signal from the tag (RFID group), and the conventional clips in the other six dogs were located by finger palpation (FP group). The detected sites were marked by ablation on the serosal surface. Distance between the clips and the metal pin needles indicating ablated sites were measured with X-ray radiographs of the resected specimen.

Results

All clips were successfully detected by the marking system in the RFID group (10/10) and by finger palpation in the FP group (17/17). The medians of detection times were 31.5 and 25.0 s, respectively; the distances were 5.63 and 7.62 mm, respectively. The differences were not statistically significant. No adverse event related to the procedures was observed.

Conclusions

Endoclips with RFID tags were located by our novel marking system in an experimental laparoscopic setting using canine stomachs with substantial accuracy comparable to conventional endoclips located by finger palpation through an open approach.

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Acknowledgments

We are indebted to Mr. Yukio Tominaga (Star Engineering Co., Ltd., Hitachi, Japan) for his technical help in preparing the micro RFID tags. This study was funded by the Japanese Foundation for Research and Promotion of Endoscopy.

Disclosures

Fumitsugu Kojima, Toshihiko Sato, Shigeru Tsunoda, Hiromi Takahata, Masatsugu Hamaji, Teruya Komatsu, Minoru Okada, Tadao Sugiura, Osamu Oshiro, Yoshiharu Sakai, Hiroshi Date, and Tatsuo Nakamura have no conflicts of interest or financial ties to disclose.

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Authors and Affiliations

  1. Department of Bioartificial Organs, Institute for Frontier Medical Sciences, Kyoto University, Kyoto, Japan

    Fumitsugu Kojima, Masatsugu Hamaji, Teruya Komatsu & Tatsuo Nakamura

  2. Department of Thoracic Surgery, Kyoto University Hospital, Shogoin-Kawaracho 54, Sakyo-ku, Kyoto, Japan

    Fumitsugu Kojima, Toshihiko Sato, Masatsugu Hamaji, Teruya Komatsu & Hiroshi Date

  3. Department of Surgery, Kyoto University Hospital, Kyoto, Japan

    Shigeru Tsunoda & Yoshiharu Sakai

  4. Graduate School of Engineering Science, Osaka University, Toyonaka, Japan

    Hiromi Takahata & Osamu Oshiro

  5. Graduate School of Information Science, Nara Institute of Science and Technology, Ikoma, Japan

    Minoru Okada & Tadao Sugiura

Authors
  1. Fumitsugu Kojima
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  2. Toshihiko Sato
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  3. Shigeru Tsunoda
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  7. Minoru Okada
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  10. Yoshiharu Sakai
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  11. Hiroshi Date
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  12. Tatsuo Nakamura
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Corresponding author

Correspondence to Toshihiko Sato.

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Kojima, F., Sato, T., Tsunoda, S. et al. 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, 2752–2759 (2014). https://doi.org/10.1007/s00464-014-3501-2

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  • DOI: https://doi.org/10.1007/s00464-014-3501-2

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