Soares, AS;
Lovat, LB;
Chand, M;
(2019)
Intracorporeal lymph node mapping in colon cancer surgery.
European Journal of Surgical Oncology
, 45
(12)
pp. 2316-2318.
10.1016/j.ejso.2019.07.013.
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Abstract
INTRODUCTION: The best approach to lymphadenectomy in colon cancer is still unknown. The debate has centred around different options of standardised "one size fits all" lymph node harvest techniques. A different approach is tailoring lymph node harvest to the patient's lymphatic drainage pattern. // METHODS: A technique for individualised lymph node mapping is proposed, which can guide the surgeon intraoperatively. It consists in the intracorporeal injection of 10 mg of indocyanine green at 4 points in the periphery of the colonic tumour. A near infrared camera is used to assess the fluorescence after specimen mobilisation but before extraction, allowing lymphadenectomy based on the patient's own lymphatic drainage. // RESULTS: a video demonstration of the technique and preliminary results in 6 patients is presented in this short report. // CONCLUSION: intracorporeal lymph node mapping is feasible and safe. Further studies are required to determine the place of this technique in modern oncologic colon surgery.
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