Effectiveness and safety of tumor site marking with near-infrared fluorescent clips in colorectal laparoscopic surgery: A case series study

Narihiro, Satoshi; Yoshida, Masashi; Ohdaira, Hironori; Sato, Takayuki; Suto, Daisuke; Hoshimoto, Sojun; Suzuki, Norihiko; Mao, Rui; Kamada, Teppei; Takeuchi, Hideyuki; Suzuki, Yutaka

doi:10.1016/j.ijsu.2020.06.014

Cited by 20 publications

(20 citation statements)

References 20 publications

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“…Other approaches for the localization of colorectal tumors, such as endoscopic tattooing with autologous blood and endoscopic marking with near-infrared f luorescent clips, have been suggested. 16,17 The visualization of tattooing using 6~12 ml of autologous blood was good (92.2%). Three patients (5.9%) experienced tattooing-related adverse events.…”

Section: Discussionmentioning

confidence: 98%

Preoperative Colonoscopic Tattooing Using a Direct Injection Method with Indocyanine Green for Localization of Colorectal Tumors: An Efficacy and Safety Comparison Study

Kim

Park

Lim

et al. 2020

J Minim Invasive Surg

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Purpose Endoscopic tattooing is used to mark colorectal lesions for subsequent surgery. As a tattooing agent, India ink has been widely used but is not currently available in Korea. Indocyanine green (ICG) can be applied as an alternative agent. However, studies on colonoscopic tattooing by the direct injection of indocyanine green are lacking. This study aimed to compare the efficacy and safety between an ICG direct injection method and an India ink saline test injection method. Methods A total of 227 patients who underwent preoperative endoscopic tattooing for colorectal neoplasm (149 patients in the ICG direct injection group and 78 patients in the India ink saline test injection group) were included in the study. The efficacy of the two methods was compared by visualization and safety was compared by evaluating the perioperative tattooing complications. Results The visualization of lesions in the ICG group was not different from that of the India ink group (p=0.42, 96.0% vs 98.7%, respectively). Only one patient in the ICG group had abdominal pain related to tattooing, but no complications developed in the India ink group. Conclusion Considering the good visualization and low complication rate, the direct injection of ICG can be used as an alternative tattooing method.

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Section: Discussionmentioning

confidence: 98%

Preoperative Colonoscopic Tattooing Using a Direct Injection Method with Indocyanine Green for Localization of Colorectal Tumors: An Efficacy and Safety Comparison Study

Kim

Park

Lim

et al. 2020

J Minim Invasive Surg

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“…Moreover, similar to ICG, near-infrared fluorescent resin also emits fluorescence, and clinical applications of new devices using this agent are increasing [8] . Fluorescent clips with built-in near-infrared fluorescent resin that emit fluorescence have been used in laparoscopic surgery for colorectal cancer and stomach cancer, and their usefulness has been reported [8] , [9] . Clips placed in the stomach and large intestine are visualized via fluorescence through the intestinal canal.…”

Section: Discussionmentioning

confidence: 99%

A case in which a near-infrared ray catheter (NIRC) was effectively applied in laparoscopic sigmoidectomy for a sigmoidovesical fistula

Okamoto

Ryu

Kitagawa

et al. 2022

International Journal of Surgery Case Reports

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A 40-year-old man visited the hospital for a refractory urinary tract infection. A sigmoidovesical fistula resulting from a sigmoidovesical diverticulum was diagnosed, and laparoscopic surgery was performed. To avoid ureteral injury during surgery for highly advanced cancer and inflammatory diseases, a ureteral stent is generally placed before the procedure. However, in this case, surgery was performed using a near-infrared ray catheter (NIRC), which emits fluorescence when irradiated with near-infrared light. By clearly observing the pathway of the ureter via near-infrared light, the integrity of the ureter could be preserved, and sigmoidectomy was safely performed. The visual navigation of the ureter with NIRC was especially useful during surgery for a colovesical fistula with marked surrounding inflammatory changes and a high risk of ureteral damage.

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“…Metallic clip use is insecure due to occasional low visibility as well as migration to other tissues ( 14 ). Narihiro et al observed the safety and effectiveness of near-infrared fluorescent clips and reported a detection rate 94.1% without adverse effects related to clip marking ( 17 ). Intraoperative colonoscopy can be used to identify GI lesions, however this extends the overall duration of the operation and can generate intestinal distention, which might limit the surgeon's surgical field ( 14 , 18 ).…”

Section: Discussionmentioning

confidence: 99%

Preoperative tumor marking with indocyanine green prior of robotic colorectal resections

et al. 2022

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This prospective case-series study aimed to assess the usefulness of preoperative colonoscopic marking of colorectal tumors using Indocyanine Green (ICG) fluorescence in patients that underwent robotic surgical colorectal resections. Consecutive patients that were eligible for colorectal resection with intent to cure in a single hospital (Athens Medical Center), from February 2022 to June 2022, were included. ICG solution was injected into the submucosal layer at 2 opposite sites (180 degrees apart) distal to the tumor, without submucosal elevation. Identification of the tumor marking was then performed after switching to near-infrared (NIR) fluorescence mode. During the robotic procedure, qualitative evaluation of fluorescence was performed by the surgical team (primary surgeon, first assistant, second assistant, research fellow). All 10 patients underwent robotic surgical approach and operations included right-sided colectomy (n = 1), left-sided colectomy (n = 6) and low anterior resection (n = 3). Visualisation of this dye with near-infrared light was very clear with bright intensity in all patients when the marking was performed one day prior of surgery. Preoperative tumor marking with ICG was identified intraoperatively in all cases and the techinque was easily reproducible.

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Effectiveness and safety of tumor site marking with near-infrared fluorescent clips in colorectal laparoscopic surgery: A case series study

Cited by 20 publications

References 20 publications

Preoperative Colonoscopic Tattooing Using a Direct Injection Method with Indocyanine Green for Localization of Colorectal Tumors: An Efficacy and Safety Comparison Study

Preoperative Colonoscopic Tattooing Using a Direct Injection Method with Indocyanine Green for Localization of Colorectal Tumors: An Efficacy and Safety Comparison Study

A case in which a near-infrared ray catheter (NIRC) was effectively applied in laparoscopic sigmoidectomy for a sigmoidovesical fistula

Preoperative tumor marking with indocyanine green prior of robotic colorectal resections

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