Scientific Online Resource System

Scripta Scientifica Medica

Intraoperative sentinel lymph node mapping in laparoscopic operations for colorectal cancer

Venelin Georgiev, Panayot Kurtev, Lachezar Dzhongov, Lyubomir Vartanyanov, Elka Angelova, Lilyan Lukov, Eva Dimanova, Kalin Enikov, Yordan Simeonov, Vladislav Yankov

Abstract

INTRODUCTION: Laparoscopic resections in colorectal cancer gain an increasing popularity. Sentinel lymph node mapping in colorectal cancer and its advantages in daily practice are still subject of discussion. In laparoscopic operations, the procedure has same technical difficulties, although provides definite advan­tages in staging and estimating the extent of lymph dissection.

MATERIALS AND METHODS: We present techniques for intraoperative sentinel lymph nodes mapping in colorectal cancer and their detection with surgical gamma probe in laparoscopic resection, which are used in our clinic, and the initial results from them.

RESULTS: The initial results show that sentinel lymph nodes mapping with radionuclides and their detec­tion with surgical gamma probe are technically feasible in laparoscopic resections for colorectal cancer. The method has additional possibilities for the surgeon for estimating of the lymph drainage and precise stag­ing in laparoscopic operation.

CONCLUSION: Nevertheless the contradictory opinions for application of sentinel lymph nodes mapping in colorectal cancer, the method provides certain advantages in improving staging. In laparoscopic opera­tions, although having some difficulties, it could be used, as it offers additional facilitation for the surgeon in estimating the lymph drainage in condition of decreased tactile sensation. Scr Sci Med 2017; 49(3):19-21


Full Text


References

Dubé S, Heyen F, Jenicek M. Adjuvant chemotherapy in colorectal carcinoma: results of a meta-analysis. Dis Colon Rectum. 1997;40(1):35-41.

Joosten JJ, Strobbe LJ, Wauters CA, Pruszczynski M, Wobbes T, Ruers TJ. Intraoperative lymphatic mapping and the sentinel node concept in colorectal carcinoma. Br J Surg. 1999;86(4):482-6. doi: 10.1046/j.1365-2168.1999.01051.x.

Wiese DA, Saha S, Badin J. Sentinel lymph node mapping in staging of colorectal carcinoma. Am J Clin Pathol. 1999;112:542.

Saha S, Wiese D, Badin J, Beutler T, Nora D, Ganatra BK, et al. Technical details of sentinel lymph node mapping in colorectal cancer and its impact on staging. Ann Surg Oncol. 2000;7(2):120-4.

Wood TF, Saha S, Morton DL, Tsioulias GJ, Rangel D, Hutchinson W Jr, et al. Validation of lymphatic mapping in colorectal cancer: in vivo, ex vivo, and laparoscopic techniques. Ann Surg Oncol. 2001;8(2):150-7.

Kitagawa Y, Watanabe M, Hasegawa H, Yamamoto S, Fujii H, Yamamoto K, et al. Sentinel node mapping for colorectal cancer with radioactive tracer. Dis Colon Rectum. 2002;45(11):1476-80.

Saha S, Dan AG, Berman B, Wiese D, Schochet E, Barber K, et al. Lymphazurin 1% versus 99mTc sulfur colloid for lymphatic mapping in colorectal tumors: a comparative analysis. Ann Surg Oncol. 2004;11(1):21-6.




DOI: http://dx.doi.org/10.14748/ssm.v49i3.4047

Refbacks

Article Tools
Email this article (Login required)
About The Authors

Venelin Georgiev
University Specialized Hospital for Active Treatment in Oncology, Sofia, Bulgaria

Clinic for Abdominal Surgery

Panayot Kurtev
University Specialized Hospital for Active Treatment in Oncology, Sofia, Bulgaria

Clinic for Abdominal Surgery

Lachezar Dzhongov
University Specialized Hospital for Active Treatment in Oncology, Sofia, Bulgaria

V

Lyubomir Vartanyanov
University Specialized Hospital for Active Treatment in Oncology, Sofia, Bulgaria

Clinic for Abdominal Surgery

Elka Angelova
University Specialized Hospital for Active Treatment in Oncology, Sofia, Bulgaria

Clinic for Abdominal Surgery

Lilyan Lukov
University Specialized Hospital for Active Treatment in Oncology, Sofia, Bulgaria

Clinic for Abdominal Surgery

Eva Dimanova
University Specialized Hospital for Active Treatment in Oncology, Sofia, Bulgaria

Clinic for Abdominal Surgery

Kalin Enikov
University Specialized Hospital for Active Treatment in Oncology, Sofia, Bulgaria

Clinic for Abdominal Surgery

Yordan Simeonov
University Specialized Hospital for Active Treatment in Oncology, Sofia, Bulgaria

Clinic for Abdominal Surgery

Vladislav Yankov
University Specialized Hospital for Active Treatment in Oncology, Sofia, Bulgaria

Clinic for Abdominal Surgery

Font Size


|