Vermeulen-Spohn Marieke Sofie, Pongratanakul Pailin, Thy Sophia, Dukart Juergen, Albers Peter, Che Yue
Department of Urology, University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Institute of Neurosciences and Medicine, Forschungszentrum Jülich, Jülich, Germany.
Eur Urol Open Sci. 2024 Jun 27;66:55-59. doi: 10.1016/j.euros.2024.06.004. eCollection 2024 Aug.
Robot-assisted imaging-guided sentinel lymph node biopsy is a novel technique that has not been widely investigated in testicular germ cell tumor (GCT). Current staging strategies have poor accuracy for prediction of occult metastatic disease in clinical stage I GCT. Feasibility studies have used Tc-nanocolloid staining during laparoscopic procedures. The RAISN trial is investigating robot-assisted lymph node resection guided by indocyanine green fluorescence imaging. This new diagnostic approach is potentially more precise and easier to apply, and is widely available. Confirmation of its utility could change the management of newly diagnosed GCT by reducing overtreatment and treatment-related toxicity.
机器人辅助成像引导下前哨淋巴结活检是一种尚未在睾丸生殖细胞肿瘤（GCT）中得到广泛研究的新技术。目前的分期策略在预测临床I期GCT隐匿性转移疾病方面准确性较差。可行性研究在腹腔镜手术中使用了锝纳米胶体染色。RAISN试验正在研究吲哚菁绿荧光成像引导下的机器人辅助淋巴结切除术。这种新的诊断方法可能更精确且易于应用，并且广泛可用。证实其效用可能会通过减少过度治疗和治疗相关毒性来改变新诊断GCT的管理方式。
