A. Borgstein, W. Eshuis, S. Gisbertz, M. V. B. Henegouwen
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Robotic Sentinel Lymph Node Procedure After Endoscopic Submucosal Dissection of High Risk Early Gastric Cancer: A Case Report
Endoscopic resection (ER) is the treatment of choice for early gastric cancer (T1) without lymph node
involvement. An additional gastrectomy with D2 lymphadenectomy is recommended if ER is considered as
non-curative. Here, we present a case of a robot-assisted sentinel lymph node procedure performed with the
use of duel-tracer, including ICG fluorescence and technetium-99, after a non-curative ESD for an early
gastric tumor. Five “hot” lymph nodes were resected, one of which was positive for metastasis. A subtotal
gastrectomy with D2 lymphadenectomy was performed additionally during the same procedure. This case
presentation indicates the feasibility of a robot-assisted sentinel lymph node procedure in early gastric
cancer.
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