Sentinel-lymph-node mapping in endometrial cancer

Gorostidi, Mikel; Ruiz, Rubén

doi:10.1016/s1470-2045(17)30248-6

Cited by 4 publications

(4 citation statements)

References 4 publications

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“…The patients were selected according to the following inclusion criteria: (1) low-grade (grade 1 or 2) endometrial adenocarcinoma on preoperative endometrial biopsy; (2) lesion confined to the uterine body; (3) tumor <4-cm in diameter; (4) lesion not involving the cervix (lesions and tumors were assessed by preoperative magnetic resonance imaging); (5) no intraperitoneal metastasis; and (6) surgical staging with SLN mapping, including vNOTES and laparoscopy.…”

Section: Patient Selection and Data Collectionmentioning

confidence: 99%

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vNOTES Hysterectomy with Sentinel Lymph Node Mapping for Endometrial Cancer: Description of Technique and Perioperative Outcomes

Wang

Deng

Tang

et al. 2021

Journal of Minimally Invasive Gynecology

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To explore the technique and clinical value of transvaginal natural orifice transluminal endoscopic surgery (vNOTES) in hysterectomy and sentinel lymph node (SLN) mapping for endometrial cancer by comparing its perioperative outcomes with those of laparoscopic staging. Design: Retrospective cohort study. Setting: Department of gynecology at a tertiary medical center. Patients: All women diagnosed with endometrial cancer who underwent minimally invasive surgery at our center between August 2017 and May 2020. Interventions: Both vNOTES and laparoscopic approaches were used for hysterectomy and SLN mapping. The success of SLN detection as well as perioperative outcomes were subsequently analyzed. Measurements and Main Results: This study included 74 patients; 23 patients underwent vNOTES surgery, whereas 51 underwent standard laparoscopic surgery. The total successful SLN detection was 95.7% in the vNOTES group and 92.2% in the laparoscopy group (p >.05), whereas the bilateral success rates were 87.0% and 90.2%, respectively. No difference in SLN detection was observed between the 2 groups in terms of the side-specific mapping efficacy quotient (91.3% vs 91.2%, p = .47). The number of harvested SLNs, operative time, estimated blood loss, and intraoperative complications in the 2 groups were similar. One (4.3%) postoperative complication occurred in the vNOTES group vs 4 (7.9%) in the laparoscopy group (p = .029), and the median postoperative hospital stay was 3 days vs 4 days (p = .003). Conclusion:This study suggests that the vNOTES procedure is feasible, with a potentially decreased postoperative hospital stay, faster recovery, and better cosmetic results. However, prospective research is needed to validate its broader clinical application.

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Section: Patient Selection and Data Collectionmentioning

confidence: 99%

“…Sentinel lymph node (SLN) procedures are considered an alternative standard of care in the treatment of apparent uterine-confined malignancy. Both accurately predict nodal status and reduce the surgical morbidity associated with complete lymphadenectomy [1,2].…”

mentioning

confidence: 99%

vNOTES Hysterectomy with Sentinel Lymph Node Mapping for Endometrial Cancer: Description of Technique and Perioperative Outcomes

Wang

Deng

Tang

et al. 2021

Journal of Minimally Invasive Gynecology

View full text Add to dashboard Cite

show abstract

“… 21 With some groups, as with ours, efforts were made to detect direct drainage pathways to the aortocaval region, with good results at this level 22 , 23 ; however, the relevance of aortic SLN detection in different risk groups is a controversial issue. 20 We also detected a higher percentage of isolated pelvic metastases with the extraperitoneal approach, with the only explanation being the higher detection of isolated pelvic ITC in high-risk EC.…”

Section: Discussionmentioning

confidence: 49%

“…It is a fact that aortocaval lymph node drainage involves a more complex network compared with pelvic drainage, and is anatomically more complicated to follow. 20 This disadvantage could lead to the identification of false aortic SLNs.…”

Section: Discussionmentioning

confidence: 99%