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Near infrared fluorescence lymphatic laparoscopy of the colon and mesocolon.

Identifieur interne : 001C97 ( Ncbi/Checkpoint ); précédent : 001C96; suivant : 001C98

Near infrared fluorescence lymphatic laparoscopy of the colon and mesocolon.

Auteurs : M. Ankersmit [Pays-Bas] ; M H G M. Van Der Pas ; D A Van Dam ; W J H J. Meijerink

Source :

RBID : pubmed:22098524

English descriptors

Abstract

During surgery, a surgeon relies on the vision of his eyes and the touch of his hands. While laparoscopic surgery for colon cancer has proven to be safe and effective, it still remains a technically difficult procedure. Although it is associated with reduced haptic feedback, by enforcing the power of visual guidance, the loss of this feedback can be (partly) compensated for. Here we describe how the use of near-infrared dyes and fluorescence laparoscopy could help improve tumour staging and therefore lead to better selection of patients for postoperative adjuvant chemotherapy. More controversially, and analogous to melanoma and breast cancer surgery with sentinel node biopsy, we speculate that local resection with SLN harvesting in early colon cancer might change the therapeutic and surgical strategy in colon cancer.

DOI: 10.1111/j.1463-1318.2011.02787.x
PubMed: 22098524


Affiliations:


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pubmed:22098524

Le document en format XML

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<nlm:affiliation>Department of Surgery, VU University Medical Center, Amsterdam, The Netherlands. m.ankersmit1@vumc.nl</nlm:affiliation>
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<name sortKey="Van Dam, D A" sort="Van Dam, D A" uniqKey="Van Dam D" first="D A" last="Van Dam">D A Van Dam</name>
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<name sortKey="Meijerink, W J H J" sort="Meijerink, W J H J" uniqKey="Meijerink W" first="W J H J" last="Meijerink">W J H J. Meijerink</name>
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<term>Fluorescent Dyes</term>
<term>Humans</term>
<term>Indocyanine Green</term>
<term>Laparoscopy</term>
<term>Lymph Nodes (pathology)</term>
<term>Lymphatic Metastasis</term>
<term>Neoplasm Micrometastasis (diagnosis)</term>
<term>Neoplasm Staging</term>
<term>Rosaniline Dyes</term>
<term>Sentinel Lymph Node Biopsy</term>
<term>Spectroscopy, Near-Infrared</term>
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<term>Coloring Agents</term>
<term>Fluorescent Dyes</term>
<term>Indocyanine Green</term>
<term>Rosaniline Dyes</term>
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<term>Neoplasm Micrometastasis</term>
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<term>Colonic Neoplasms</term>
<term>Lymph Nodes</term>
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<term>Colonic Neoplasms</term>
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<term>Fluorescence</term>
<term>Humans</term>
<term>Laparoscopy</term>
<term>Lymphatic Metastasis</term>
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<div type="abstract" xml:lang="en">During surgery, a surgeon relies on the vision of his eyes and the touch of his hands. While laparoscopic surgery for colon cancer has proven to be safe and effective, it still remains a technically difficult procedure. Although it is associated with reduced haptic feedback, by enforcing the power of visual guidance, the loss of this feedback can be (partly) compensated for. Here we describe how the use of near-infrared dyes and fluorescence laparoscopy could help improve tumour staging and therefore lead to better selection of patients for postoperative adjuvant chemotherapy. More controversially, and analogous to melanoma and breast cancer surgery with sentinel node biopsy, we speculate that local resection with SLN harvesting in early colon cancer might change the therapeutic and surgical strategy in colon cancer.</div>
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