Sentinel lymph node navigation surgery for early stage gastric cancer

作     者：Norio Mitsumori Hiroshi Nimura Naoto Takahashi Masahiko Kawamura Hiroaki Aoki Atsuo Shida Nobuo Omura Katsuhiko Yanaga 

作者机构：Department of surgerythe Jikei University School of MedicineNisi-shinbashiMinato-kuTokyo 105-8461Japan 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2014年第20卷第19期

页      面：5685-5693页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Gastric cancer Sentinel node navigation surgery In 

摘      要：We attempted to evaluate the history of sentinel node navigation surgery(SNNS),technical aspects,tracers,and clinical applications of SNNS using Infrared Ray Electronic Endoscopes(IREE)combined with Indocyanine Green(ICG).The sentinel lymph node(SLN)is defined as a first lymph node(LN)which receives cancer cells from a primary *** on clinical application of SNNS for gastric cancers started to appear since early *** prospective multicenter trials of SNNS for gastric cancer have also been accomplished in *** et al reported that the endoscopic dual(dye and radioisotope)tracer method for SN biopsy was confirmed acceptable and effective when applied to the early-stage gastric cancer(EGC).We have previously reported the usefulness of SNNS in gastrointestinal cancer using ICG as a tracer,combined with IREE(Olympus Optical,Tokyo,Japan)to detect *** metastasis rate of EGC is ***,clinical application of SNNS for EGC might lead us to avoid unnecessary LN dissection,which could preserve the patient’s quality of life after *** most ideal method of SNNS should allow secure and accurate detection of SLN,and real time observation of lymphatic flow during operation.