Sentinel Lymph Node Biopsy in Gastric Cancer

被引:26
作者
Takeuchi, Hiroya [1 ]
Kitagawa, Yuko [1 ]
机构
[1] Keio Univ, Dept Surg, Sch Med, Tokyo 1608582, Japan
关键词
Sentinel lymph nodes; gastric cancer; laparoscopic; indocyanine green; ASSISTED DISTAL GASTRECTOMY; BILLROTH-I GASTRECTOMY; TRIAL; LYMPHADENECTOMY; SURGERY;
D O I
10.1097/PPO.0000000000000088
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Clinical application of sentinel lymph node (SLN) mapping in patients with early-stage gastric cancer has been a controversial issue for years. However, a recent meta-analysis and a prospective multicenter trial of SLN mapping for early-stage gastric cancer have shown acceptable SLN detection rates and accuracy of determination of lymph node status. A dual-tracer method that uses radioactive colloids and blue dyes is currently considered the most reliable method for the stable detection of SLNs in patients with early-stage gastric cancer. However, the new technologies such as indocyanine green infrared or fluorescence imaging might revolutionize the SLN mapping procedures in gastric cancer. For early-stage gastric cancer, the establishment of individualized, minimally invasive treatments based on SLN concept may retain the patients' quality of life.
引用
收藏
页码:21 / 24
页数:4
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