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Near-Infrared Sentinel Lymph Node Mapping With Indocyanine Green Using the VITOM II ICG Exoscope for Open Surgery for Gynecologic Malignancies.
- Source :
-
Journal of minimally invasive gynecology [J Minim Invasive Gynecol] 2016 May-Jun; Vol. 23 (4), pp. 628-32. Date of Electronic Publication: 2016 Feb 24. - Publication Year :
- 2016
-
Abstract
- Sentinel lymph node (SLN) mapping is emerging as an effective method for surgical staging of different gynecologic malignancies. Near-infrared (NIR) technology using a fluorescent dye such as indocyanine green (ICG) represents an interesting and feasible method for SLN mapping even in traditional open surgeries by applying video telescope operating microscope (VITOM) system technology. We report our preliminary experience in 12 women who underwent surgical nodal staging for early-stage vulvar and uterine or cervical cancer. Surgical and pathological outcomes are described, and the VITOM II ICG system's intraoperative image quality, handling and docking, and teaching value are assessed. The general impression of the surgical staff was that the VITOM II system is easy to use, and that the image quality of the anatomic structures is impressive. Traditional open SLN mapping with ICG appears to be easy to perform and reproducible, providing a new tool in the management of patients with gynecologic malignancies. Moreover, we believe that this technology has great potential as an operative teaching and learning modality for trainers for open surgical cases. Additional studies involving the VITOM system with a large sample size of patients are needed to confirm these promising results.<br /> (Copyright © 2016 AAGL. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Adult
Aged
Aged, 80 and over
Equipment Design
Feasibility Studies
Female
Fluorescent Dyes
Humans
Image-Guided Biopsy instrumentation
Image-Guided Biopsy methods
Indocyanine Green
Lymphatic Metastasis
Middle Aged
Neoplasm Staging
Sentinel Lymph Node Biopsy instrumentation
Sentinel Lymph Node Biopsy methods
Spectroscopy, Near-Infrared methods
Surgery, Computer-Assisted instrumentation
Surgery, Computer-Assisted methods
Uterine Cervical Neoplasms pathology
Uterine Cervical Neoplasms surgery
Uterine Neoplasms pathology
Video-Assisted Surgery instrumentation
Video-Assisted Surgery methods
Vulvar Neoplasms pathology
Sentinel Lymph Node pathology
Uterine Neoplasms surgery
Vulvar Neoplasms surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1553-4669
- Volume :
- 23
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Journal of minimally invasive gynecology
- Publication Type :
- Academic Journal
- Accession number :
- 26921484
- Full Text :
- https://doi.org/10.1016/j.jmig.2016.02.015