Laparoscopic lymphatic roadmapping with blue dye and radioisotope in colon cancer.
Colorectal Dis
; 13 Suppl 7: 67-9, 2011 Nov.
Article
em En
| MEDLINE
| ID: mdl-22098523
ABSTRACT
Lymphatic mapping (LM) and sentinel lymph node (SLN) identification by blue dye in colon cancer is a procedure feasible during minimally invasive surgery, with good specificity, but still a low sensitivity (78% in our series). These results are in accordance with the literature and have limited more widespread diffusion of the method, both as a tool for upstaging and more controversially, as a potential roadmap to a tailored lymphadenectomy. It is possible to improve the results of LM with careful selection of patients and by the use of an intraoperative gamma camera. The preliminary results of intra-operative lymphoscintigraphy are promising in a well-selected small group of patients, with high levels of sensitivity and specificity. If these results are confirmed in further prospective analyses, it may be possible to undertake selected, tailored lymphadenectomy.
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Base de dados:
MEDLINE
Assunto principal:
Corantes de Rosanilina
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Agregado de Albumina Marcado com Tecnécio Tc 99m
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Neoplasias do Colo
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Compostos Radiofarmacêuticos
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Biópsia de Linfonodo Sentinela
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Corantes
Idioma:
En
Ano de publicação:
2011
Tipo de documento:
Article