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Indocyanine green-guided sentinel lymph node mapping during laparoscopic surgery with vaginal cuff closure but no uterine manipulator for cervical cancer.

Yoichi AokiHiroyuki KanaoAtsushi FusegiMakiko OmiSanshirou OkamotoTerumi TanigawaHidetaka NomuraKohei OmatsuAkiko Tonooka
Published in: International journal of clinical oncology (2022)
The high NPV suggests the feasibility and usefulness of ICG-based SLN mapping plus rapid intraoperative examination for identification of metastatic SLNs. Use of ICG-based mapping for intraoperative identification of SLNs in patients undergoing this new laparoscopic surgery method for early-stage cervical cancer was particularly effective for tumors < 2 cm in diameter. However, incorporating a search for micrometastases into rapid intraoperative histopathologic examination may be necessary.
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