Sentinel Node Mapping Using Indocyanine Green and Near-infrared Fluorescence Imaging Technology for Uterine Malignancies: Preliminary Experience With the Da Vinci Xi System

Journal of Minimally Invasive Gynecology
Gabriele SiestoDomenico Vitobello

Abstract

Sentinel lymph node (SLN) mapping has emerged as the new frontier for the surgical staging of apparently early-stage cervical and endometrial cancer. Different colorimetric and radioactive tracers, alone and in combination, have been proposed with encouraging results. Fluorometric mapping using indocyanine green (ICG) appears to be a suitable and attractive alternative to provide reliable staging [1-4]. In this video, we present the technique of SLN mapping in 2 cases (1 endometrial and 1 cervical cancer, respectively) using ICG and the near-infrared technology provided by the newest Da Vinci Xi robotic system (Intuitive Surgical Inc., Sunnyvale, CA). Together we report the results of our preliminary experience on the first 20 cases performed. The new robotic Da Vinci Xi system was available at our institution since May 2015. Upon institutional review board/ethical committee approval, all consecutive patients with early-stage endometrial and cervical cancer who were judged suitable for robotic surgery have been enrolled for SLN mapping with ICG. We adopted the Memorial Sloan Kettering Cancer Center SLN algorithm; the tracer was delivered into the cervix in all cases. Four milliliters (1.25 mg/mL) of ICG was injected divided int...Continue Reading

Citations

Oct 30, 2016·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Yasser Diab
Oct 27, 2018·The Journal of International Medical Research·Qurat UlainQiling Li
Nov 8, 2019·Advanced Healthcare Materials·Yongkuan SuoZhen Cheng
Jun 3, 2021·Diagnostics·Ji-Hoon KimHyung Kwon Byeon
Jun 10, 2021·The Cochrane Database of Systematic Reviews·Hans NagarJo Morrison

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