Detection of Sentinel Lymph Nodes in Endometrial Cancer with Intracervical Indocyanine Green Injection and Robotically Assisted Near Infrared Imaging: A Feasibility Study in Indian Setting

Rajanbabu, Anupama; Murali, Vinita; Nataraj, Y. S.; Vijaykumar, D K

doi:10.1007/s40944-015-0020-6

Cited by 4 publications

(2 citation statements)

References 12 publications

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“…The results of the present study suggest that laparoscopic SLN biopsy by use of cervical ICG injection can be effectively used after validating institutional sensitivity and false negative rates. This study was conducted after having validated the technique of SLN mapping using ICG and NIR imaging in our institution, in an earlier study [8]. The sensitivity of the procedure was 100 % and there were no false negatives.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Sentinel Lymph Node Mapping Using NIR Fluorescence with ICG in Early Endometrial Cancer: Experience at a Tertiary Care Oncology Centre

Bhati,

Gupta,

Garg

et al. 2023

Asian Pac J Cancer Biol

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Objective: To determine the detection rates and location of sentinel nodes as well as to determine intraoperative and postoperative surgico-pathological outcomes in endometrial cancer patients who underwent laparoscopic staging with sentinel node biopsy using ICG dye. Materials and Methods: This retrospective study was conducted in a tertiary care oncology centre, Amrita Institute of medical sciences, Kochi from April 2021 to March 2023. All cases of biopsy proven early stage endometrial carcinoma that underwent laparoscopic staging with SLN mapping using the ICG dye were included. All histological types were included, as long as the disease was confined to the uterus, clinically and on MRI. Results: A total of 80 patients were found eligible for the study. Only the patients with apparent uterine confined disease on preoperative MRI were selected for sentinel mapping, 80 % of whom had IA disease on MRI, and 20 % had IB, 13.5 % were high grade histology.The overall SLN detection rate was 93.75%, and bilateral detection rate was 92.5 %. Most common location was external iliac in 40.8% cases. Only 1 patient was found to harbour nodal micro metastasis on ultrastaging. Final histopathology identified stage IA in 63 (78.75%) patients, IB in 14 (17.5%), Stage II in 2 (2.5%) and Stage IIIC1 in 1 (1.25%) patient. Conclusion: Laparoscopic staging with SLNB using ICG is a practicable approach for uterine limited disease on preoperative evaluation. It extends the benefits of minimally invasive surgery to these patients, while overcoming the limitations of prohibitive cost or availability of expensive robotic equipment.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic Sentinel Lymph Node Mapping Using NIR Fluorescence with ICG in Early Endometrial Cancer: Experience at a Tertiary Care Oncology Centre

Bhati,

Gupta,

Garg

et al. 2023

Asian Pac J Cancer Biol

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“…Sentinel node mapping is another technique which is gaining popularity in endometrial cancer [8]. Following sentinel node mapping algorithm allows a greater rate of node detection at the same time decreases the morbidity of lymphadenectomy [9,10]. But there is scarce data about whether the benefits of minimally invasive surgery extend beyond the first postoperative month [11].…”

Section: Introductionmentioning

confidence: 99%

Long-Term Morbidity after Endometrial Cancer Surgery: a Comparison of Open vs. Robotic Approach

Padmanabhan

Anumolu

Pranav

et al. 2019

Indian J Surg Oncol

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This retrospective study is looking into the long-term morbidity after endometrial cancer staging surgery and compares the longterm morbidity of patients who underwent open staging surgery vs. robotic approach. One hundred twenty-nine patients who underwent staging surgery for endometrial cancer from January 2014 until June 2017 were included in the analysis. Morbidities occurring 1 month after surgery-vault complications, incisional hernias, vault dehiscence, and lymphedema-were looked into. There were no statistically significant differences between the long-term complications in both groups (vault infection 5.1% vs. 1.4%, vaginal cuff dehiscence 1.6% vs. 0%, incisional hernia 6.8% vs. 0%, and lymphedema 11.8% vs. 10% in open vs robotic groups respectively). But as far as clinical significance was concerned, patients who underwent robotic staging surgery had a significant decrease in vaginal cuff complications and incisional hernia. Our study shows that robotic-assisted surgery can reduce even long-term morbidity in patients undergoing surgery for endometrial cancer.

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Reverse current technique for cancer treatment

Anandhapadmanabhan¹,

Krishnaprasad²,

Babu³

et al. 2017

2017 2nd International Conference for Convergence in Technology (I2CT)

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Detection of Sentinel Lymph Nodes in Endometrial Cancer with Intracervical Indocyanine Green Injection and Robotically Assisted Near Infrared Imaging: A Feasibility Study in Indian Setting

Cited by 4 publications

References 12 publications

Laparoscopic Sentinel Lymph Node Mapping Using NIR Fluorescence with ICG in Early Endometrial Cancer: Experience at a Tertiary Care Oncology Centre

Laparoscopic Sentinel Lymph Node Mapping Using NIR Fluorescence with ICG in Early Endometrial Cancer: Experience at a Tertiary Care Oncology Centre

Long-Term Morbidity after Endometrial Cancer Surgery: a Comparison of Open vs. Robotic Approach

Reverse current technique for cancer treatment

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