Surgical Film Library-Inguinofemoral Sentinel Node Mapping In Vulvar Cancer

Inguinofemoral Sentinel Node Mapping In Vulvar Cancer

Video Transcription

Video Summary

This talk discusses sentinel lymph node (SLN) mapping and biopsy in vulvar cancer to reduce morbidity from full lymph node dissections. Traditional methods use blue dye and technetium-99, but near-infrared imaging with indocyanine green (IC-green) has gained popularity due to its efficacy and ease. Studies, including MSK's 19-year experience, show combined technetium-99 and IC-green provides the best node identification. Eligible patients have unifocal tumors ≤4 cm and no suspicious nodes, requiring bilateral mapping if near midline. The procedure involves peripheral injections of IC-green, near-infrared imaging for real-time visualization, and gamma probes to localize nodes for precise excision with minimal incision size.

Asset Subtitle

Vance Broach, United States

Meta Tag

Route MIS-Laparoscopic

Skill Level Intermediate

Surgical Location Vulva

Keywords

MIS-Laparoscopic

Vulva

Intermediate

sentinel lymph node mapping

vulvar cancer

indocyanine green

near-infrared imaging

technetium-99