Purpose: Lymphadenectomy represents a fundamental step during gastrointestinal cancer resection, as the removal of an adequate number of lymph nodes is crucial to define the stage of the disease and prognosis. Lymphadenectomy during gastric and colorectal resection and adrenalectomy for cancer are technically demanding and can be associated with risk of bleeding. To date, lymphadenectomy is often performed without any visual aid. Indocyanine green fluorescence for lymph node mapping can provide better intraoperative visualization. The purpose of this review is to report the current evidence on this topic. Materials and methods: A systematic research of the electronic databases Medline, Embase and Google Scholar was conducted from the inception to December 2022. Results: This review summarizes the current evidence of techniques and results of fluorescence guided lymphatic mapping during gastrointestinal and adrenal surgery. Conclusion: According to this review, ICG guided lymphadenectomy for gastrointestinal tumours and adrenocortical carcinoma is feasible and safe. In gastrointestinal tumours it allows higher number of harvested lymph nodes.

Lymph node mapping with ICG near-infrared fluorescence imaging: technique and results / L. Baldari, L. Boni, E. Cassinotti. - In: MINIMALLY INVASIVE THERAPY & ALLIED TECHNOLOGIES. - ISSN 1365-2931. - 32:5(2023 Oct 03), pp. 213-221. [10.1080/13645706.2023.2217916]

Lymph node mapping with ICG near-infrared fluorescence imaging: technique and results

L. Boni
Secondo
;
E. Cassinotti
Ultimo
2023

Abstract

Purpose: Lymphadenectomy represents a fundamental step during gastrointestinal cancer resection, as the removal of an adequate number of lymph nodes is crucial to define the stage of the disease and prognosis. Lymphadenectomy during gastric and colorectal resection and adrenalectomy for cancer are technically demanding and can be associated with risk of bleeding. To date, lymphadenectomy is often performed without any visual aid. Indocyanine green fluorescence for lymph node mapping can provide better intraoperative visualization. The purpose of this review is to report the current evidence on this topic. Materials and methods: A systematic research of the electronic databases Medline, Embase and Google Scholar was conducted from the inception to December 2022. Results: This review summarizes the current evidence of techniques and results of fluorescence guided lymphatic mapping during gastrointestinal and adrenal surgery. Conclusion: According to this review, ICG guided lymphadenectomy for gastrointestinal tumours and adrenocortical carcinoma is feasible and safe. In gastrointestinal tumours it allows higher number of harvested lymph nodes.
ICG injection; Indocyanine green; inguinal lymph node injection; lymph node mapping; lymphadenectomy;
Settore MED/18 - Chirurgia Generale
3-ott-2023
1-giu-2023
Article (author)
File in questo prodotto:
File Dimensione Formato  
Lymph node mapping with ICG near-infrared fluorescence imaging technique and results.pdf

accesso riservato

Tipologia: Publisher's version/PDF
Dimensione 1.61 MB
Formato Adobe PDF
1.61 MB Adobe PDF   Visualizza/Apri   Richiedi una copia
Pubblicazioni consigliate

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/1026278
Citazioni
  • ???jsp.display-item.citation.pmc??? 0
  • Scopus 5
  • ???jsp.display-item.citation.isi??? 5
social impact