Feasibility of hand-assisted laparoscopic sentinel node biopsy in open endometrial cancer surgery

被引:9
作者
Peiretti, Michele [1 ]
Candotti, Giorgio [1 ]
Buda, Alessandro [2 ]
Zapardiel, Ignacio [3 ]
Fanni, Daniela [4 ]
Proto, Anna [1 ]
Fais, Maria Luisa [1 ]
Mais, Valerio [1 ]
机构
[1] Univ Cagliari, Dept Surg Sci, Div Gynecol & Obstet, Cagliari, Italy
[2] San Gerardo Hosp, Gynecol Oncol Unit, Dept Obstet & Gynecol, ASST Monza, Milan, Italy
[3] La Paz Univ Hosp, Gynecol Oncol Unit, Madrid, Spain
[4] Univ Cagliari, Fac Med & Chirurg, Ringgold Stand Inst, Div Pathol,Dept Surg Sci, Monserrato, Italy
关键词
Endometrial cancer; sentinel lymph node; open surgery; Indocyanine green; laparoscopic camera; PROSPECTIVE MULTICENTER; STAGE-I; EXPERIENCE; WOMEN; LYMPHADENECTOMY; MALIGNANCIES; CARCINOMA; THERAPY; TRIAL; ICG;
D O I
10.1080/13645706.2019.1628063
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: The aim of this preliminary retrospective study was to assess the feasibility and accuracy of Indocyanine Green (ICG) sentinel node (SLN) sampling using a laparoscopic camera during open endometrial cancer surgery. Material and methods: Retrospective study. Fourteen women with endometrial cancer, not fit for a complete laparoscopic staging, underwent SLN mapping using the IMAGE1 camera during open surgery. Results: The median age of patients was 67 (range 33-86) years. Median BMI was 31 (range 23-58). Mean operative time 157.5 minutes and hospital stay three days. The overall detection rate of SLN mapping was 93%. Bilateral detection was 86%. No post-operative short or long-term complications were observed. Conclusions: Real-time NIR technology supported by the IMAGE1 S is a reliable system and represents a promising method for SLN mapping in selected cases with EC and severe surgical risks, during 48 traditional open approaches. The use of laparoscopy ICG in open surgery seems to be a feasible and useful tool for the detection of SLN in endometrial cancer patients with intraoperative and/or postoperative high morbidity risk. It represents a valid alternative to robotic surgery, particularly in countries and centers where the robotic platform or SPY system for open surgery are not available.
引用
收藏
页码:299 / 303
页数:5
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