AI Article Synopsis
- - The study investigates the use of Indocyanine green (ICG) for lymphadenectomy in gastric cancer patients, comparing outcomes between those who had ICG-guided surgery and those who did not.
- - Results showed that while the number of positive cancer nodes was similar in both groups, the ICG cohort had significantly more lymph nodes removed (42 vs. 28).
- - ICG lymphadenectomy shows potential to enhance surgical outcomes, particularly for high-risk patients needing more aggressive treatment or low-risk patients who might benefit from less invasive approaches.
Article Abstract
Background: Indocyanine green (ICG) guided lymphadenectomy has been proposed has a technique to improve the lymphadenectomy of patients with gastric cancer. Nevertheless, experience with this procedure is scarce in Western countries.
Methods: A retrospective analytic study in a tertiary hospital in Spain was performed, comparing patients who underwent laparoscopic gastrectomy with (ICG cohort) and without (historic cohort) ICG guided lymphadenectomy.
Results: Thirty four patients were included (17 in each group). Although the number of positive nodes was similar in both groups (0.0 in the ICG cohort vs. 2 in the historic cohort, p = 0.119), the number of lymph nodes removed was higher in the ICG cohort (42.0 vs 28.0, p = 0.040). In the ICG cohort, more lymph nodes were positive for adenocarcinoma in the group of nodes that were positive for IGC (10.6% of the IGC + nodes vs. 1.9% in the ICG - nodes, p < 0.001).
Conclusions: ICG lymphadenectomy is a promising procedure that could improve the lymphadenectomy of patients with gastric cancer. ICG lymphadenectomy could be used to increase the number of lymph nodes removed in patients with a high-risk of nodal invasion or it could be used to reduce the surgical aggressiveness in fragile patients with a low-risk of nodal invasion.
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| http://dx.doi.org/10.1007/s00464-022-09258-y | DOI Listing |
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