Didactics-Sentinel Lymph Node Technique for Endometrial Cancer

Video Transcription

Video Summary

In this video, Dr. Emma discusses the UNC technique for sentinel lymph node mapping for endometrial cancer using the robotic surgical platform. She explains the process of injecting the lyophilized ICG with sterile water and performing incisions and dissections to locate the sentinel lymph nodes. She emphasizes the importance of finding sentinel lymph nodes on both sides of the pelvis to accurately predict metastatic disease. Dr. Emma also discusses different types of tracers and their pros and cons, including blue dye, carbon nanoparticle suspension, and ICG. She highlights the benefits of ICG, such as its higher detection rate and ability to penetrate fatty tissue. Dr. Emma also addresses factors that can affect mapping, such as surgeon experience, advanced cancer, obesity, and the use of blue dye alone. She shares results from the FIRES and CENTOR trials, which demonstrate the accuracy of sentinel node biopsy in endometrial cancer. Finally, she briefly mentions the controversy surrounding ultra-staging of sentinel lymph nodes and the significance of micrometastases.

Asset Subtitle

Emma Rossi
February 2021

Keywords

sentinel lymph node mapping

endometrial cancer

robotic surgical platform

ICG

detection rate

sentinel node biopsy