Accurate localization of rectal cancer using near infrared ray-guided surgery with intra-operative colonoscopy and da Vinci Firefly technology.

Abstract:

:Accurate localization of the tumor during robot-assisted laparoscopic surgery for rectal cancer is crucial. Several techniques have been described, but each has its shortcomings. We developed a new technique of near infrared ray-guided surgery (NIRGS) to localize the tumor accurately, using intra-operative colonoscopy and da Vinci Firefly technology. After clamping the oral side of the tumor, the colonoscope was inserted. In the normal visible light mode, we could not recognize the endoscopic light; however, after changing to the Firefly mode, the endoscopic light was seen clearly. Using this simple and new technique, we could locate the tumor easily and accurately. We performed this technique in 12 patients and detected the location of the tumor clearly in all, without any procedure-related complications. Based on these findings, NIRGS is a useful and safe technique for detecting tumor location during robot-assisted laparoscopic surgery for rectal cancer.

journal_name

Surg Today

journal_title

Surgery today

authors

Takahashi H,Yanagita TE,Suzuki T,Maeda A,Nakai N,Maeda Y,Shiga K,Hirokawa T,Ogawa R,Hara M,Matsuo Y,Takiguchi S

doi

10.1007/s00595-019-01864-z

subject

Has Abstract

pub_date

2020-02-01 00:00:00

pages

205-208

issue

2

eissn

0941-1291

issn

1436-2813

pii

10.1007/s00595-019-01864-z

journal_volume

50

pub_type

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