Peroperační detekce sentinelové uzliny při resekci pro karcinom kolon - předběžné výsledky

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Title in English Intraoperative sentinel lymph node detection in colon cancer resection - preliminary results
Authors

CAGAŠ J. ČAPOV Ivan VLČEK Petr KORBIČKA J. VEVERKOVÁ Lenka HERMANOVÁ Markéta TICHÝ M.

Year of publication 2015
Type Article in Periodical
Magazine / Source Rozhledy v chirurgii
MU Faculty or unit

Faculty of Medicine

Citation
Web https://www.prolekare.cz/casopisy/rozhledy-v-chirurgii/2015-4-2/peroperacni-detekce-sentinelove-uzliny-pri-resekci-pro-karcinom-kolon-predbezne-vysledky-51779
Field Surgery incl. transplantology
Keywords sentinel node; colon cancer; intraoperative detection
Description lntroduction: The aim of this paper is to evaluate the results of intraoperative sentinel node detection in colon cancer patients and to compare the number of nodes retrieved per specimen in comparison with standard resection. Methods: Patients undergoing elective colon cancer resection were included in the study. The specimen and the sentinel lymph node were sent for histopathological examination. A group of patients from 2011 who underwent elective resection served as the study control. Results. The control group comprised 56 patients. The average node count was 12.73 (4-27). The study group included 102 patients; 29 patients had to be excluded because of protocol deviation. Out of the remaining 73 (46 male and 27 female) patients, 24 were N-positive and 2 of them were pNlc. In the remaining 22 patients, the sentinel node was positive in 8 cases, corresponding to a sensitivity of 36.36%. The average lymph node count was 15.97(3-30) after patent blue dye injection. Conclusion: Intraoperative sentinel lymph node detection is an easy and feasible method. Despite the low sensitivity, the main positive effect of the method is the increased lymph node count per resection specimen.
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