Mapping Lymph Node during Indocyanine Green Fluorescence-Imaging Guided Gastric Oncologic Surgery: Current Applications and Future Directions

Huge strides have been made in the navigation of gastric cancer surgery thanks to the improvement of intraoperative techniques. For now, the use of indocyanine green (ICG) enhanced fluorescence imaging has received promising results in detecting sentinel lymph nodes (SLNs) and tracing lymphatic drai...

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Published inCancers Vol. 14; no. 20; p. 5143
Main Authors Liao, Yiqun, Zhao, Jiahao, Chen, Yuji, Zhao, Bin, Fang, Yongkun, Wang, Fei, Wei, Chen, Ma, Yichao, Ji, Hao, Wang, Daorong, Tang, Dong
Format Journal Article
LanguageEnglish
Published Basel MDPI AG 01.10.2022
MDPI
Subjects
Biopsy
Care and treatment
Dissection
Drug dosages
Fluorescence
Fluorescence microscopy
Forecasts and trends
Gastric cancer
Gastrointestinal surgery
Health aspects
Investigations
Laparoscopy
Lymph nodes
Lymphangiography
Lymphatic system
Medical prognosis
Metastasis
Methods
Review
Standardization
Stomach cancer
Surgery
Surgical outcomes
Tattoos
Tumor cells
China
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Summary:Huge strides have been made in the navigation of gastric cancer surgery thanks to the improvement of intraoperative techniques. For now, the use of indocyanine green (ICG) enhanced fluorescence imaging has received promising results in detecting sentinel lymph nodes (SLNs) and tracing lymphatic drainages, which make it applicable for limited and precise lymphadenectomy. Nevertheless, issues of the lack of specificity and unpredictable false-negative lymph nodes were encountered in gastric oncologic surgery practice using ICG-enhanced fluorescence imaging (ICG-FI), which restrict its application. Here, we reviewed the current application of ICG-FI and assessed potential approaches to improving ICG-FI.
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These authors contributed equally to this work.
ISSN:2072-6694
2072-6694
DOI:10.3390/cancers14205143