Table 1

Characteristics of the included studies

Author, year; countrySample size*Study periodType of surgerySurgical approachInjection siteTracer used and doseTime between injection and detectionSLN ultrastaging
Kleppe et al25 2014; Netherlands5October 2012 to June 2014PSSLPTUO and IP ligaments0.2–0.5 mL of Tc-99m albumin nanocolloid and blue dye (each injection)15 minYes
Hassanzadeh et al26 2016;
Iran
13January 2010 to October 2014PSSLPTUO and IP ligaments (n=10);
Cortex (n=3)
0.2 mL of Tc-99 m phytate+blue dye (each injection)10 minNS
Angelucci et al28 2016;
Italy
5April 2016 to May 2016PSSMISHilum of ovary0.5–1 mL of ICG, (1.25 mg/mL)2 minNS
Buda et al31 2017; Italy7NRPSSMISUO and IP ligaments0.5 to 1 mL of ICG (1.25 mg/mL)Real timeNS
Uccella et al23 2019;
Italy
31March 2018 - ongoingPSS and DSSMISUO and IP ligaments (after adnexectomy)2 mL of ICG (1.25 mg/mL)5–20 minYes
Lago et al24 2018;
Spain
10March 2017 to February 2018PSS and DSSMIS+LPTUO 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 minYes
Lago et al30 2020;
Spain
20March 2018 to July 2019PSS and DSSMIS+LPTUO 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 minYes†
Laven et al29 2021;
Netherlands
11NRPSS and DSSLPTUO and IP ligaments (after adnexectomy)0.15 mL of Tc-99m albumin nanocolloid (20 MBq) + 0.2 mL blue dye15 minYes
Guerra27 2021;
Venezuela
28June 2016 to November 2019DSSLPTUO and IP ligaments0.5 mL of Isosulfan (UO ligament) + 2 mL (IP ligament)15 minNS
  • *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.