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546 Laparoscopical sentinel node for low and intermediate risk endometrial cancer: pilot results of a prospective cohort
  1. S Petousis,
  2. A Daniilidis,
  3. C Margioula-Siarkou,
  4. A Liberis,
  5. A Papanikolaou and
  6. K Dinas
  1. Aristotle University of Thessaloniki, 2nd Department of Obstetrics and Gynaecology, Thessaloniki, Greece


Introduction/Background*Sentinel node presents almost the standard of care regarding low and intermediate-risk endometrial cancer patients. However, every oncological team should continuously evaluate outcomes of this relatively newly implied technique. Main objective of the present study is to present the surgical outcomes of laparoscopic sentinel node technique in low and intermediate-risk endometrial cancer patients.

Methodology A prospective cohort study was initiated on 03/2020 enrolling patients with low and intermediate-risk endometrial cancer being eligible for total laparoscopic hysterectomy and laparoscopic pelvic sentinel node. Primary outcomes of the study was the rate of successfully detected sentinel nodes, number of resected nodes as well as nodal status of resected notes. Pilot results of this cohort are presented in the current study.

Result(s)*There were overall 11 cases performed during 03/2020-05/2021, of which 8 were low and 3 were intermediate-risk endometrial cancer patients. Successful bilateral detection of SLN was achieved in 8 cases (72.7%), unilateral detection in 2 cases (18,2%) while no detection in 1 case. Median number of resected nodes was 2.5 nodes from the left side and 3 nodes from the right side. No lymph node was observed to be invaded in this sample of enrolled patients. Postoperative period was uneventful in all patients.

Conclusion*SLN is the standard of treatment in low and intermediate-risk endometrial cancer patients. Continuous training improves surgical technique thereafter optimizing surgical and oncological outcome.

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