Abstract
While laparoscopic surgery started out as a surgical technique with a small wound and minimal invasion, advances in imaging devices have made laparoscopic surgery more delicate. Currently, further advances in image processing technology have enabled fluorescence navigation surgery, in which grossly undetectable biological structures are visualized by fluorescence imaging.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Morton DL, Wen DR, Wong JH, et al. Technical details of intraoperative lymphatic mapping for early stage melanoma. Arch Surg. 1992;127:392–9.
Kinami S, Kosaka T. Laparoscopic sentinel node navigation surgery for early gastric cancer. Transl Gastroenterol Hepatol. 2017;2:42.
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.
Miwa K. Sentinel node concept and its application for cancer surgery. Nihon Geka Gakkai Zasshi. 2000;101:307–10.
Kinami S, Nakamura N, Tomita Y, et al. Precision surgical approach with lymph-node dissection in early gastric cancer. World J Gastroenterol. 2019;25:1640–52.
Hiratsuka M, Miyashiro I, Ishikawa O, et al. Application of sentinel node biopsy to gastric cancer surgery. Surgery. 2001;129:335–40.
Ichikura T, Morita D, Uchida T, et al. Sentinel node concept in gastric carcinoma. World J Surg. 2002;26:318–22.
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.
Kusano M, Tajima Y, Yamazaki K, et al. Sentinel node mapping guided by indocyanine green fluorescence imaging: a new method for sentinel node navigation surgery in gastrointestinal cancer. Dig Surg. 2008;25:103–8.
Kinami S, Oonishi T, Fujita J, et al. Optimal settings and accuracy of indocyanine green fluorescence imaging for sentinel node biopsy in early gastric cancer. Oncol Lett. 2016;11:4055–62.
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.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
1 Electronic Supplementary Material
SNB using an ICG fluorescent laparoscopic imaging system during gastrectomy for early gastric cancer. The tumor was a poorly differentiated carcinoma (cM, IIc, 10 mm in size on the posterior wall of the gastric body). On the day before surgery, 0.5Â mL of 100-fold diluted ICG was injected into the four areas surrounding the tumor. Fluorescence imaging using the VISERA ELITE II (Olympus) visualized fluorescing spots on the serous surface, lymphatic canals, and lymph nodes. In this case, the lymphatic basin was the right gastroepiploic artery area and the left gastric artery area. The result of SNB was negative for metastasis, enabling us to indicate segmental resection of the stomach. The right gastric artery, the first branch of the right gastroepiploic artery, and the infrapyloric artery were preserved, and a large antral cuff (5 cm in lesser curvature and 8 cm in larger curvature) was preserved. (Video duration 03:26) (MP4 70981 kb)
Identification of sentinel lymph node on a back table. On the resected lymphatic basin, sentinel lymph nodes were identified using PDE-neo®. The lymph nodes that clearly emitted strong fluorescence were considered to be sentinel lymph nodes and submitted to rapid pathological examinations. (Video duration 05:20) (MP4 41437 kb)
Rights and permissions
Copyright information
© 2023 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Kinami, S. (2023). Identification of Sentinel Lymph Nodes in Gastric Cancer Surgery. In: Ishizawa, T. (eds) Fluorescence-Guided Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-19-7372-7_21
Download citation
DOI: https://doi.org/10.1007/978-981-19-7372-7_21
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-19-7371-0
Online ISBN: 978-981-19-7372-7
eBook Packages: MedicineMedicine (R0)