Author, year; country | Sample size* | Study period | Type of surgery | Surgical approach | Injection site | Tracer used and dose | Time between injection and detection | SLN ultrastaging |
Kleppe et al25 2014; Netherlands | 5 | October 2012 to June 2014 | PSS | LPT | UO and IP ligaments | 0.2–0.5 mL of Tc-99m albumin nanocolloid and blue dye (each injection) | 15 min | Yes |
Hassanzadeh et al26 2016; Iran | 13 | January 2010 to October 2014 | PSS | LPT | UO and IP ligaments (n=10); Cortex (n=3) | 0.2 mL of Tc-99 m phytate+blue dye (each injection) | 10 min | NS |
Angelucci et al28 2016; Italy | 5 | April 2016 to May 2016 | PSS | MIS | Hilum of ovary | 0.5–1 mL of ICG, (1.25 mg/mL) | 2 min | NS |
Buda et al31 2017; Italy | 7 | NR | PSS | MIS | UO and IP ligaments | 0.5 to 1 mL of ICG (1.25 mg/mL) | Real time | NS |
Uccella et al23 2019; Italy | 31 | March 2018 - ongoing | PSS and DSS | MIS | UO and IP ligaments (after adnexectomy) | 2 mL of ICG (1.25 mg/mL) | 5–20 min | Yes |
Lago et al24 2018; Spain | 10 | March 2017 to February 2018 | PSS and DSS | MIS+LPT | UO and IP ligaments (after adnexectomy) | 0.2 mL of Tc-99m albumin colloid (37 MBq) + 0.5 mL of ICG (1.25 mg/mL) | 15 min | Yes |
Lago et al30 2020; Spain | 20 | March 2018 to July 2019 | PSS and DSS | MIS+LPT | UO and IP ligaments (after adnexectomy) | 0.2 mL of Tc-99m albumin colloid (37 MBq) + 0.5 mL of ICG (1.25 mg/mL) | 15 min | Yes† |
Laven et al29 2021; Netherlands | 11 | NR | PSS and DSS | LPT | UO and IP ligaments (after adnexectomy) | 0.15 mL of Tc-99m albumin nanocolloid (20 MBq) + 0.2 mL blue dye | 15 min | Yes |
Guerra27 2021; Venezuela | 28 | June 2016 to November 2019 | DSS | LPT | UO and IP ligaments | 0.5 mL of Isosulfan (UO ligament) + 2 mL (IP ligament) | 15 min | NS |
*Refers only to patients with malignant ovarian cancer.
†Ultrastaging protocol was applied a second time.40
DSS, delayed or restaging surgery; ICG, indocyanine green; IP, Infundibulo-pelvic; LPT, laparotomy; MIS, minimal invasive surgery; NR, not reported; NS, not specified; PSS, primary staging surgery; SLN, sentinel lymph node; UO, utero-ovarian.