Objective: The aim of this study is to study the reproducibility of the
dual injection technique of IndoCyanine Green (ICG) in the cervix and fundus in
endometrial cancer. Methods: Between June 2014, and December 2019, 278
patients underwent laparoscopic surgery for endometrial cancer at our
institution. In all cases, under a prospective cohort study, we performed
Sentinel Lymph Node (SLN) biopsy with dual cervical and fundal ICG injection.
Lymphadenectomy was also performed if intermediate or high-risk criteria were
present. All cases were performed independently by three surgeons, with the same
protocol and system, and their results were compared. Results: Global,
aortic, pelvic and bilateral pelvic detection rates (DRs) were 93.45%, 67.27%,
90.18% and 67.64%. There were no significant differences for DRs between the
three surgeons. The probability of finding a positive SLN was 8.8% (SD 2.8),
21% (SD 4.1) and 12% (SD 3.3), respectively, with a significant chi-squared
difference (p = 0.041), which was statistically associated with
preoperative risk factors (p
