Feasibility of hand-assisted laparoscopic sentinel node biopsy in open endometrial cancer surgery.
Michele PeirettiGiorgio CandottiAlessandro BudaIgnacio Zapardiel GutiérrezDaniela FanniAnna ProtoMaria Luisa FaisValerio MaisPublished in: Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy (2019)
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.
Keyphrases
- endometrial cancer
- minimally invasive
- robot assisted
- coronary artery bypass
- lymph node
- high resolution
- sentinel lymph node
- fluorescence imaging
- deep learning
- end stage renal disease
- emergency department
- loop mediated isothermal amplification
- ejection fraction
- patients undergoing
- high throughput
- machine learning
- real time pcr
- high speed
- physical activity
- neoadjuvant chemotherapy
- pet ct
- peritoneal dialysis
- fluorescent probe
- rectal cancer