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Acta Medica Marisiensis

The Journal of The University of Medicine and Pharmacy of Targu-Mures

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Sentinel Lymph Node Mapping In Gastric Cancer Surgery: Current Status

Jr Tivadar Bara / Tivadar Bara / Radu Neagoe / Daniela Sala / Simona Gurzu / Ioan Jung / Cristian Borz
Published Online: 2016-12-30 | DOI: https://doi.org/10.1515/amma-2016-0047


Lymphonodular metastases remain an important predictive and prognostic factor in gastric cancer development. The precise determination of the lymphonodular invasion stage can be made only by extended intraoperative lymphadenectomy and histopathological examination. But the main controversy is the usefulness of extended lymph dissection in early gastric cancer. This increases the duration of the surgery and the complications rate, and it is unnecessary without lymphonodular invasion. The identification of the sentinel lymph nodes has been successfully applied for some time in the precise detection of lymph nodes status in breast cancer, malignant melanoma and the use for gastric cancer patients has been a controversial issue. The good prognosis in early gastric cancer had been a surgery challenge, which led to the establishment of minimally invasive individualized treatment and acceptance of sentinel lymph node mapping. The dual-tracer method, submucosally administered endoscopically is also recommended in sentinel lymph node biopsy by laparoscopic approach. There are new sophisticated technologies for detecting sentinel lymph node such as: infrared ray endoscopy, florescence imaging and near-infrared technology, carbon nanoparticles, which will open new perspectives in sentinel lymph nodes mapping.

Keywords: sentinel lymph node; gastric cancer; lymphonodular metastases


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About the article

Received: 2016-09-19

Accepted: 2016-10-05

Published Online: 2016-12-30

Published in Print: 2016-12-01

Citation Information: Acta Medica Marisiensis, Volume 62, Issue 4, Pages 403–407, ISSN (Online) 2247-6113, DOI: https://doi.org/10.1515/amma-2016-0047.

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© 2016 Bara Tivadar et al., published by De Gruyter Open. This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License. BY-NC-ND 3.0

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