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862 Sentinel lymph node biopsy in open surgery for gynaecological malignancies
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  1. L Bocciolone,
  2. A Bergamini,
  3. R Cioffi,
  4. F Cantatore,
  5. E Rabaiotti,
  6. F Sgalambro,
  7. G Sabetta and
  8. G Candotti
  1. San Raffaele Hospital, Obstetrics and Gynecology, Milano, Italy

Abstract

Introduction/Background*Sentinel node biopsy has been introduced as alternative to lymph node dissection for lymph node staging for endometrial cancer patients. This surgical video has the objective to show the feasibility of Indocyanine Green (ICG) sentinel node sampling using SPY Portable Handheld Imaging System during open endometrial cancer surgery.

Methodology 72 years old patient with diagnosis of endometrioid G2 endometrial cancer underwent open surgery due to anesthesiological and surgical contraindications.

Result(s)*Laparotomy with total extrafascial hysterectomy, bilateral salpingoophorectomy and bilateral lymph node biopsy was performed. Operative time was 110 minutes and blood loss was 200cc. Patient was discharged after 4 days without any complication.

Conclusion*The use of SPY Portable Handheld Imaging System in open surgery seems to be a feasible and useful tool for the detection of SLN in endometrial cancer patients underwent open surgery.

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