Sentinel lymph node detection in endometrial cancer with indocyanine green: laparoscopic versus robotic approach

The aims of the present study were to assess bilateral sentinel lymph node (SLN) mapping with laparoscopic versus robotic approach, to assess variables affecting bilateral detection rates and to assess survival difference in patients with no/unilateral, compared to bilateral SLN detection. This is a...

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Published in:Facts, views & vision in ObGyn views & vision in ObGyn, 2021-03, Vol.13 (1), p.15-25
Main Authors: Bizzarri, N, Restaino, S, Gueli Alletti, S, Monterossi, G, Gioè, A, La Fera, E, Gallotta, V, Fagotti, A, Scambia, G, Fanfani, F
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Language:English
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Summary:The aims of the present study were to assess bilateral sentinel lymph node (SLN) mapping with laparoscopic versus robotic approach, to assess variables affecting bilateral detection rates and to assess survival difference in patients with no/unilateral, compared to bilateral SLN detection. This is a retrospective, single-centre, observational cohort study, including patients with endometrial cancer FIGO stage IA-IVB, treated with minimally invasive primary surgery and undergoing indocyanine green (ICG) injection to detect SLN, between January 2015 and December 2019. Of the 549 included patients, 286 (52.1%) and 263 (47.9%) underwent the laparoscopic and robotic approach respectively. 387 (70.5%) patients had bilateral SLN mapping, 102 (18.6%) and 60 (10.9%) had unilateral and no mapping, respectively. Patients who underwent the robotic approach were older (median 61 versus 64 years, p=0.046) and had a higher BMI (median 26.0 versus 34.8 kg/m2, p
ISSN:2032-0418
2684-4230
DOI:10.52054/FVVO.13.1.002