Lymph node mapping in gastric cancer surgery: current status and new horizons

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Zulfikaroglu B., KÜÇÜK N. Ö., SOYDAL Ç., Ozmen M.

TURKISH JOURNAL OF SURGERY, cilt.36, sa.4, ss.393-398, 2020 (ESCI) identifier identifier identifier

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 36 Sayı: 4
  • Basım Tarihi: 2020
  • Doi Numarası: 10.47717/turkjsurg.2020.4932
  • Dergi Adı: TURKISH JOURNAL OF SURGERY
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.393-398
  • Anahtar Kelimeler: Lymph node mapping, gastric cancer, surgery, RANDOMIZED CLINICAL-TRIAL, SENTINEL NODE, NAVIGATION SURGERY, RADIOACTIVE-TRACER, INDOCYANINE GREEN, BIOPSY, LYMPHADENECTOMY, DISSECTION, RESECTION, MICROMETASTASIS
  • Ankara Üniversitesi Adresli: Evet

Özet

Gastric cancer (GC) remains one of the most important malignant diseases with significant geographical, ethnic, and socioeconomic differences in distribution. Sentinel lymph node (SLN) mapping is an accepted way to assess lymphatic spread in several solid tumors; however, the complexity of gastric lymphatic drainage may discourage use of this procedure, and the estimated accuracy rate is, in general, reasonably good. This study aimed at reviewing the current status of SLN mapping and navigation surgery in GC. SLN mapping should be limited to tumors clinically T1 and less than 4 cm in diameter. Combination SLN mapping with radioactive colloid and blue dye is used as the standard. Despite its notable limitations, SLN mapping and SLN navigation surgery present a novelty individualizing the extent of lymphadenectomy.