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Date Published: 26/11/2024
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DOI: https://doi.org/10.51298/vmj.v544i2.11885
Issue
Vol. 544 No. 2 (2024)
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Các bài báo
How to Cite
Qúach, V. K., Vũ, Đức T., & Nguyễn, Đình H. (2024). CLINCAL CASE REPORT: EARLY RESULTS OF FLUORESCENCE LYMPH NODE MAPPING USING INDOCYANINE GREEN FOR LAPAROSCOPIC RIGHT HEMICOLECTOMY. Vietnam Medical Journal, 544(2). https://doi.org/10.51298/vmj.v544i2.11885

CLINCAL CASE REPORT: EARLY RESULTS OF FLUORESCENCE LYMPH NODE MAPPING USING INDOCYANINE GREEN FOR LAPAROSCOPIC RIGHT HEMICOLECTOMY

Văn Kiên Qúach, Đức Thịnh Vũ, Đình Hiếu Nguyễn

Main Article Content

Abstract

Background: With the development of surgical technology, indocyanine green (ICG) fluorescence navigation systems may be useful in various areas of colorectal surgery, including tumor location confirmation, bowel perfusion, ureter identification, and lymph node mapping. This review provides an overview of the current status of ICG-based navigation surgery in right colon, emphasizing its role in lymphatic flow mapping. Case report: Viet Duc University Hospital for the first time deployed ICG application in a 46-year-old male patient diagnosed with right colon cancer with the goal of evaluating lymphatic pathways. The results of ICG-guided right colon lymphadenectomy successfully and safely performed, Lymphatic mapping has changed the scope of surgery, beyond the scope of standard D3 lymphadenectomy. Conclusions: Fluorescence lymph node mapping (FLNM) could be considered a promising new strategy to potentially increase harvested D3 lymph node counts in colon cancer surgery. The use of FLNM has the potential to change the paradigm of oncological surgery, but the clinical benefits and oncological advantages are not yet clear. Therefore, cautious application and further research are needed.

Article Details

Keywords

ICG (Indocyanine green); lymphatic mapping; ICG-guided lymphadenectomy; colorectal cancer.

References

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