LINFOGRAFÍA CON ICG Y FLUORESCENCIA EN LA LINFADENECTOMÍA PÉLVICA POR CÁNCER VESICAL Y PROSTÁTICO

Backhaus Miguel Ramírez, Gómez-Ferrer Álvaro, ColladoSerra Argimiro, Domínguez-Escrig José Luis, Rubio-Briones José, Calatrava-Fons Ana, Bertolo Riccardo

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Archivos Españoles de Urología ›› 2019, Vol. 72 ›› Issue (8) : 831-841.
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LINFOGRAFÍA CON ICG Y FLUORESCENCIA EN LA LINFADENECTOMÍA PÉLVICA POR CÁNCER VESICAL Y PROSTÁTICO

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OBJECTIVE: ICG navigation in cancer surgery may help during pelvic lymphadenectomy. METHODS: We performed a systematic review combining the terms: bladder cancer or radical cystectomy and ICG, and prostate cancer or radical prostatectomy and ICG. We used the PRISMA guidelines recommendations. We describe the populations studied in each work, the pathological results, as well as the parameters specificity, sensitivity and predictive values.RESULTS: In muscle-invasive bladder cancer, 4 case series analyzed the performance of lymphography with ICG. The most accepted injection method is under endoscopic vision. Several punctures are done in the submucosa and the detrusor surrounding the scar. Sentinel nodes were found in up to 92% of patients with a technique sensitivity to find metastases of 88% in the series with largest casuistry.In prostate cancer, we collected data from 11 case series. Nine of them apply transrectal or transperineal dilution immediately before surgery. Sensitivity in the detection of all adenopathies ranged between 44% and 100%. The sensitivity of the technique to know the lymph node stage ranges between 67% and 100%.CONCLUSIONS: There is little experience of ICG-guided lymph node dissedction in bladder tumors. Endoscopic fluorophore injection allows us to find the nodes that drain the infiltrated area. However, the use of this technique is not widespread. In prostate cancer, it is a reproducible and efficient technique for staging patients with prostate cancer.

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Prostate cáncer / Lymph node dissection / Sentinel lymph node / Indocyanine green

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Backhaus Miguel Ramírez , Gómez-Ferrer Álvaro , ColladoSerra Argimiro , Domínguez-Escrig José Luis , Rubio-Briones José , Calatrava-Fons Ana , Bertolo Riccardo. LINFOGRAFÍA CON ICG Y FLUORESCENCIA EN LA LINFADENECTOMÍA PÉLVICA POR CÁNCER VESICAL Y PROSTÁTICO. Archivos Españoles de Urología. 2019, 72(8): 831-841

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