Skip to main content
SpringerLink
Log in

Minimally Invasive Sentinel Lymph Node Biopsy for Gastric Cancer

  • Chapter
  • First Online:
Minimally Invasive Surgical Techniques for Cancers of the Gastrointestinal Tract

  • 768 Accesses

Abstract

Recent meta-analyses and a prospective multicenter trial of sentinel lymph node (SLN) mapping and biopsy for early-stage gastric cancer have shown acceptable SLN detection rates and accuracy for determination of lymph node status. Although a combination of radioactive colloids with blue dyes as tracers is currently considered the most reliable method for stable gastric cancer SLN mapping, the new technologies such as indocyanine green infrared or fluorescence imaging may improve the SLN mapping procedures in gastric cancer. For early gastric cancer, the establishment of individualized, minimally invasive gastrectomy based on SLN concept can retain the patients’ quality of life. A recently developed full-thickness partial gastrectomy with SLN mapping and lymphatic basin dissection is expected to become a promising, ideal minimally invasive, function-preserving surgery to cure patients with clinical node-negative early gastric cancer.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Sano T, Hollowood K. Early gastric cancer. Diagnosis and less invasive treatments. Scand J Surg. 2006;95:249–55.

    Article  CAS  Google Scholar 

  2. Kitano S, Iso Y, Moriyama M, Sugimachi K. Laparoscopy-assisted Billroth I gastrectomy. Surg Laparosc Endosc. 1994;4:146–8.

    CAS  PubMed  Google Scholar 

  3. Adachi Y, Shiraishi N, Shiromizu A, et al. Laparoscopy-assisted Billroth I gastrectomy compared with conventional open gastrectomy. Arch Surg. 2000;135:806–10.

    Article  CAS  Google Scholar 

  4. Shinohara T, Kanaya S, Taniguchi K, et al. Laparoscopic total gastrectomy with D2 lymph node dissection for gastric cancer. Arch Surg. 2009;144:1138–42.

    Article  Google Scholar 

  5. Kim YW, Baik YH, Yun YH, et al. Improved quality of life outcomes after laparoscopy-assisted distal gastrectomy for early gastric cancer: results of a prospective randomized clinical trial. Ann Surg. 2008;248:721–7.

    Article  Google Scholar 

  6. Kitagawa Y, Fujii H, Mukai M, et al. The role of the sentinel lymph node in gastrointestinal cancer. Surg Clin North Am. 2000;80:1799–809.

    Article  CAS  Google Scholar 

  7. Morton DL, Wen DR, Wong JH, et al. Technical details of intraoperative lymphatic mapping for early stage melanoma. Arch Surg. 1992;127:392–9.

    Article  CAS  Google Scholar 

  8. Giuliano AE, Kirgan DM, Guenther JM, et al. Lymphatic mapping and sentinel lymphadenectomy for breast cancer. Ann Surg. 1994;220:391–401.

    Article  CAS  Google Scholar 

  9. Bilchik AJ, Saha S, Wiese D, et al. Molecular staging of early colon cancer on the basis of sentinel node analysis: a multicenter phase II trial. J Clin Oncol. 2001;19:1128–36.

    Article  CAS  Google Scholar 

  10. Kitagawa Y, Takeuchi H, Takagi Y, et al. Sentinel node mapping for gastric cancer: a prospective multicenter trial in Japan. J Clin Oncol. 2013;31:3704–10.

    Article  Google Scholar 

  11. Takeuchi H, Kitagawa Y. New sentinel node mapping technologies for early gastric cancer. Ann Surg Oncol. 2013;20:522–32.

    Article  Google Scholar 

  12. Kinami S, Fujimura T, Ojima E, et al. PTD classification: proposal for a new classification of gastric cancer location based on physiological lymphatic flow. Int J Clin Oncol. 2008;13:320–9.

    Article  Google Scholar 

  13. Tajima Y, Murakami M, Yamazaki K, et al. Sentinel node mapping guided by indocyanine green fluorescence imaging during laparoscopic surgery in gastric cancer. Ann Surg Oncol. 2010;17:1787–93.

    Article  Google Scholar 

  14. Ishikawa K, Yasuda K, Shiromizu T, et al. Laparoscopic sentinel node navigation achieved by infrared ray electronic endoscopy system in patients with gastric cancer. Surg Endosc. 2007;21:1131–4.

    Article  CAS  Google Scholar 

  15. Nimura H, Narimiya N, Mitsumori N, et al. Infrared ray electronic endoscopy combined with indocyanine green injection for detection of sentinel nodes of patients with gastric cancer. Br J Surg. 2004;91:575–9.

    Article  CAS  Google Scholar 

  16. Miyashiro I, Miyoshi N, Hiratsuka M, et al. Detection of sentinel node in gastric cancer surgery by indocyanine green fluorescence imaging: comparison with infrared imaging. Ann Surg Oncol. 2008;15:1640–3.

    Article  Google Scholar 

  17. Wang Z, Dong ZY, Chen JQ, et al. Diagnostic value of sentinel lymph node biopsy in gastric cancer: a meta-analysis. Ann Surg Oncol. 2012;19:1541–50.

    Article  Google Scholar 

  18. Takeuchi H, Saikawa Y, Kitagawa Y. Laparoscopic sentinel node navigation surgery for early gastric cancer. Asian J Endosc Surg. 2009;2:13–7.

    Article  Google Scholar 

  19. Takeuchi H, Oyama T, Kamiya S, et al. Laparoscopy-assisted proximal gastrectomy with sentinel node mapping for early gastric cancer. World J Surg. 2011;35:2463–71.

    Article  Google Scholar 

  20. Takeuchi H, Kitagawa Y. Sentinel node navigation surgery in patients with early gastric cancer. Dig Surg. 2013;30:104–11.

    Article  Google Scholar 

  21. Park JY, Kim YW, Ryu KW, et al. Assessment of laparoscopic stomach preserving surgery with sentinel basin dissection versus standard gastrectomy with lymphadenectomy in early gastric cancer-A multicenter randomized phase III clinical trial (SENORITA trial) protocol. BMC Cancer. 2016;16:340.

    Article  Google Scholar 

  22. Mayanagi S, Takeuchi H, Kamiya S, et al. Suitability of sentinel node mapping as an index of metastasis in early gastric cancer following endoscopic resection. Ann Surg Oncol. 2014;21:2987–93.

    Article  Google Scholar 

  23. Goto O, Takeuchi H, Kawakubo H, et al. First case of non-exposed endoscopic wall-inversion surgery with sentinel node basin dissection for early gastric cancer. Gastric Cancer. 2015;18:440–5.

    Article  Google Scholar 

  24. Takeuchi H, Kitagawa Y. Sentinel lymph node biopsy in gastric cancer. Cancer J. 2015;21:21–4.

    Article  Google Scholar 

  25. Takeuchi H, Goto O, Yahagi N, et al. Function-preserving gastrectomy based on the sentinel node concept in early gastric cancer. Gastric Cancer. 2017;20(Suppl 1):53–9.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, Hamamatsu University School of Medicine, Shizuoka, Japan

    Hiroya Takeuchi

  2. Department of Surgery, Keio University School of Medicine, Tokyo, Japan

    Yuko Kitagawa

Authors
  1. Hiroya Takeuchi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Yuko Kitagawa
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Hiroya Takeuchi .

Editor information

Editors and Affiliations

  1. Department of Surgery, University of Kentucky, Lexington, KY, USA

    Joseph Kim

  2. Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY, USA

    Julio Garcia-Aguilar

Electronic Supplementary Material

Trocar/port placement for laparoscopic function-preserving gastrectomy Laparoscopic function-preserving gastrectomy with sentinel lymphatic basin dissection (MP4 567165 kb)

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Takeuchi, H., Kitagawa, Y. (2020). Minimally Invasive Sentinel Lymph Node Biopsy for Gastric Cancer. In: Kim, J., Garcia-Aguilar, J. (eds) Minimally Invasive Surgical Techniques for Cancers of the Gastrointestinal Tract. Springer, Cham. https://doi.org/10.1007/978-3-030-18740-8_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-18740-8_7

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-18739-2

  • Online ISBN: 978-3-030-18740-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation