F Heredia , JR Escalona , D Sanabria , J Landeros , M Arévalo , I Arévalo
{"title":"ICG Guided Sentinel Lymph Node Mapping: Which Node to Harvest?","authors":"F Heredia , JR Escalona , D Sanabria , J Landeros , M Arévalo , I Arévalo","doi":"10.1016/j.jmig.2024.09.052","DOIUrl":null,"url":null,"abstract":"<div><h3>Study Objective</h3><div>To show an important issue concerning Sentinel Lymph node mapping strategy.</div></div><div><h3>Design</h3><div>A descriptive video highlighting the technical details to succesfuly harvest the correct sentinel node.</div></div><div><h3>Setting</h3><div>A tertiary private center.</div></div><div><h3>Patients or Participants</h3><div>two cases of endometrial cancer with Sentinel node mapping using NIR-ICG platform.</div></div><div><h3>Interventions</h3><div>Description of a possible pitfall while performing endoscopic surgery for endometrial cancer.</div></div><div><h3>Measurements and Main Results</h3><div>The selection of the correct node to harvest is commented and explaned in the two similar cases but with different decision.</div></div><div><h3>Conclusion</h3><div>Correct SLN mapping requires careful pathway tracking from the paracervix until the appearance of the first lymph node following the usual lymphatic courses.</div><div>Therefore, finding a highlighted lymph node does not result in an SLN.</div><div>Each highlighted pathway must be thoroughly explored to identify deeper and true SLNs.</div><div>The technique of SLN mapping demands careful exploration of ICG spread into lymphatic channels to guarantee a low false negative nodal status.</div></div>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"31 11","pages":"Page S11"},"PeriodicalIF":3.5000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of minimally invasive gynecology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1553465024004606","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Study Objective
To show an important issue concerning Sentinel Lymph node mapping strategy.
Design
A descriptive video highlighting the technical details to succesfuly harvest the correct sentinel node.
Setting
A tertiary private center.
Patients or Participants
two cases of endometrial cancer with Sentinel node mapping using NIR-ICG platform.
Interventions
Description of a possible pitfall while performing endoscopic surgery for endometrial cancer.
Measurements and Main Results
The selection of the correct node to harvest is commented and explaned in the two similar cases but with different decision.
Conclusion
Correct SLN mapping requires careful pathway tracking from the paracervix until the appearance of the first lymph node following the usual lymphatic courses.
Therefore, finding a highlighted lymph node does not result in an SLN.
Each highlighted pathway must be thoroughly explored to identify deeper and true SLNs.
The technique of SLN mapping demands careful exploration of ICG spread into lymphatic channels to guarantee a low false negative nodal status.
期刊介绍：
The Journal of Minimally Invasive Gynecology, formerly titled The Journal of the American Association of Gynecologic Laparoscopists, is an international clinical forum for the exchange and dissemination of ideas, findings and techniques relevant to gynecologic endoscopy and other minimally invasive procedures. The Journal, which presents research, clinical opinions and case reports from the brightest minds in gynecologic surgery, is an authoritative source informing practicing physicians of the latest, cutting-edge developments occurring in this emerging field.
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