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Minimally Invasive Sentinel Lymph Node Biopsy for Gastric Cancer

  • Hiroya TakeuchiEmail author
  • Yuko Kitagawa
Chapter

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.

Keywords

Sentinel lymph node Gastric cancer Laparoscopic Nonexposed endoscopic wall-inversion surgery Function-preserving gastrectomy Quality of life Basin dissection 

Supplementary material

Video 7.1

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

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of SurgeryHamamatsu University School of MedicineShizuokaJapan
  2. 2.Department of SurgeryKeio University School of MedicineTokyoJapan

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