IMR Press / EJGO / Volume 39 / Issue 6 / DOI: 10.12892/ejgo4198.2018

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Original Research
Robotic radical trachelectomy with sentinel lymph node mapping using ICG in early cervical cancer – a brief report
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1 Division of Gynecologic Oncology, Department of Obstetrics & Gynecology, Tel-Aviv Sourasky Medical Center, Affiliated to the Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
Eur. J. Gynaecol. Oncol. 2018, 39(6), 881–883; https://doi.org/10.12892/ejgo4198.2018
Published: 10 December 2018
Abstract

Objective: To describe the implementation of robotic radical trachelectomy with sentinel lymph node mapping utilizing indocyanine green (ICG) in patients with early cervical cancer. Materials and Methods: This retrospective analysis studied six cases of robotic assisted laparoscopy with the use of the da Vinci-Firefly fluorescence imaging to detect sentinel lymph nodes. Results: Six patients with cervical cancer clinical Stages IA2 to IB1were included. All patients underwent fertility preserving surgery in which complete tumor resection with free pathological margins was confirmed by final pathology (including an obese patient with a BMI of > 40). There were no major surgical complications. Conclusion: Robotic radical trachelectomy with sentinel lymph node mapping using ICG is an effective and safe method to treat early cervical cancer.
Keywords
Fertility preservation
ICG
Radical trachelectomy
Robotic laparoscopy
Sentinel lymph node
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