Laparoscopic lymphatic roadmapping with blue dye and radioisotope in colon cancer

P. P. Bianchi, W. Petz, L. Casali

Research output: Contribution to journalArticle

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.

Original languageEnglish
Pages (from-to)67-69
Number of pages3
JournalColorectal Disease
Volume13
Issue numberSUPPL. 7
DOIs
Publication statusPublished - Nov 2011

Keywords

  • Colon cancer
  • Laparoscopy
  • Lymphatic mapping
  • Sentinel lymphnode

ASJC Scopus subject areas

  • Gastroenterology

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