Kitagawa Yuko, Saha Sukamal, Kubo Atsushi, Kitajima Masaki
Department of Surgery, Keio University, School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan.
Surg Oncol Clin N Am. 2007 Jan;16(1):71-80. doi: 10.1016/j.soc.2006.10.014.
Sentinel node (SN) concept is valid in gastrointestinal (GI) malignancies. The dual tracer method with radio-guided and dye-guided SN mapping is feasible in GI malignancies and is useful in detecting unexpected aberrant drainage routes from GI cancers. SN mapping enabled us to perform individualized and step-wise lymphadenectomy in patients with GI cancer. A combination of SN mapping and endoscopic surgery will contribute to the improvement in quality of life after surgical treatment of GI cancer.
前哨淋巴结(SN)概念在胃肠道(GI)恶性肿瘤中是有效的。采用放射性引导和染料引导的SN定位的双示踪剂方法在GI恶性肿瘤中是可行的,并且有助于检测GI癌症意外的异常引流途径。SN定位使我们能够对GI癌症患者进行个体化和逐步的淋巴结清扫术。SN定位与内镜手术相结合将有助于改善GI癌症手术治疗后的生活质量。