Publication:
Application of Sentinel Lymph Node Technique to Transvaginal Natural Orifices Transluminal Endoscopic Surgery in Endometrial Cancer

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Issued Date

2019

Resource Type

Article

File Type

application/pdf

ISSN

15534650

DOI

10.1016/j.jmig.2018.10.001

Other identifier(s)

2-s2.0-85056645885

Rights Holder(s)

Scopus

Bibliographic Citation

Journal of Minimally Invasive Gynecology. Vol 26, No.5 (2019), p.949-953

Suggested Citation

Tantitamit T., Lee C.-L. Application of Sentinel Lymph Node Technique to Transvaginal Natural Orifices Transluminal Endoscopic Surgery in Endometrial Cancer. Journal of Minimally Invasive Gynecology. Vol 26, No.5 (2019), p.949-953. doi:10.1016/j.jmig.2018.10.001 Retrieved from: https://hdl.handle.net/20.500.14740/5293

Title

Application of Sentinel Lymph Node Technique to Transvaginal Natural Orifices Transluminal Endoscopic Surgery in Endometrial Cancer

Author(s)

Tantitamit T.
 Lee C.-L.

Abstract

Study Objective: This report outlines our first experience of sentinel lymph node (SLN) mapping in the natural orifices transluminal endoscopic surgery (NOTES) technique, which is the combination of the least invasive surgical approach and the least invasive way of assessing lymph node status. Design: Descriptive study (Canadian Task Force classification III). Setting: Tertiary referral and educational center. Patients: Four patients with endometrial cancer clinical stage 1. Interventions: NOTES with SLN mapping using an indocyanine green–based near-infrared fluorescence imaging technique. Measurements and Main Results: The average operative time was 182.75 minutes (standard deviation, 34.5). Mean estimated blood loss was 67.5 mL (standard deviation, 39.4). All patients had surgical staging of International Federation of Gynecology and Obstetrics stage IA (pT1aN0). The overall detection rate and bilateral detection rate were 100% (4/4). All procedures were successfully completed without complication or conversion to conventional laparoscopy. Conclusion: In our preliminary experience, SLN mapping in NOTES surgery appears to be feasible and safe. It can be considered as an alternative method to reduce morbidity from radical lymphadenectomy and provide the benefits from the NOTES technique. However, studies in a larger population are necessary. © 2018

Subject(s)

Indocyanine green
 Adult
 Aged
 Article
 Body mass
 Cancer staging
 Clinical article
 Descriptive research
 Endometrium cancer
 Endometrium carcinoma
 Female
 Fluorescence imaging
 Human
 Laparoscopy
 Lymph node dissection
 Middle aged
 Natural orifice transluminal endoscopic surgery
 Near infrared reflectance spectroscopy
 Operation duration
 Operative blood loss
 Postoperative complication
 Salpingooophorectomy
 Sentinel lymph node
 Surgical approach
 Surgical technique
 Tertiary care center
 Cohort analysis
 Endometrium tumor
 Natural orifice transluminal endoscopic surgery
 Pathology
 Procedures
 Sentinel lymph node
 Sentinel lymph node biopsy
 Uterus cancer
 Aged
 Cohort Studies
 Endometrial Neoplasms
 Female
 Humans
 Indocyanine Green
 Laparoscopy
 Lymph Node Excision
 Middle Aged
 Natural Orifice Endoscopic Surgery
 Operative Time
 Optical Imaging
 Sentinel Lymph Node
 Sentinel Lymph Node Biopsy
 Uterine Neoplasms

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URI

https://hdl.handle.net/20.500.14740/5293

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Scopus: Year 1983-2021

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