ICG 引导下的前哨淋巴结造影：切除哪个淋巴结？

IF 3.5 2区医学 Q1 OBSTETRICS & GYNECOLOGY Journal of minimally invasive gynecology Pub Date : 2024-11-01 DOI:10.1016/j.jmig.2024.09.052

F Heredia , JR Escalona , D Sanabria , J Landeros , M Arévalo , I Arévalo

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引用次数: 0

摘要

研究目的展示有关前哨淋巴结造影策略的一个重要问题。设计一段描述性视频，突出强调成功摘取正确前哨结的技术细节。干预措施描述内镜手术治疗子宫内膜癌时可能存在的误区。测量和主要结果对两例相似但决定不同的病例中选择正确切除的结节进行了评论和解释。因此，找到高亮淋巴结并不意味着找到了 SLN，必须彻底探查每一个高亮淋巴结的路径，以确定更深层的真正 SLN。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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ICG Guided Sentinel Lymph Node Mapping: Which Node to Harvest?

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.

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来源期刊

Journal of minimally invasive gynecology 医学-妇产科学

CiteScore

5.00

自引率

7.30%

发文量

272

审稿时长

37 days

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.