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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2010.1
- 수록면
- 407 - 413 (7page)
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Purpose: Preoperative identification of the sentinel lymph node (SLN) in gastric cancer (GC) patients may have great advantages for the minimally invasive treatment. This study was performed to evaluate the possibility of preoperative SLN detection using CT lymphography. Materials and Methods: Fourteen patients with early GC were enrolled. CT images were obtained before and at 1, 3, and 5 minutes after endoscopic submucosal peritumoral injection of 2 mL iopamidol. For patients with clearly identified SLNs, to make comparisons with the CT lymphography results, intraoperative SLN detection was performed using subserosally injected Indocyanine green (ICG) lymphography and ex vivo ICG and iopamidol lymphography using mammography was also performed.
Results: CT lymphography clearly visualized draining lymphatics and SLNs in 4 (28.6%) out of 14 patients. All clearly visualized SLNs (one to three SLNs per patient) under preoperative imaging were detected in the same location by intraoperative ICG lymphography and ex vivo ICG and iopamidol lymphography using mammography.
All preoperative SLN detections were observed with the primary tumors in the lower third of the stomach.
Conclusion: Although our study demonstrated a SLN detection rate of less than 30%, CT lymphography with radio-contrast showed potential as a method of preoperative SLN detection for GC.
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등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
Aikou T / 2001 / Can sentinel node navigation surgery reduce the extent of lymph node dissection in gastric cancer? / Ann Surg Oncol 8 : 90S ~ 93
Amersi F / 2007 / The role of sentinel lymph node biopsy in the management of melanoma / Adv Surg 41 : 241 ~ 256
Bembenek A / 2007 / Sentinel lymph node biopsy for gastrointestinal cancers / J Surg Oncol 96 : 342 ~ 352
Hayashi H / 2006 / CT lymphography-navigated sentinel lymph node biopsy in patients with superficial esophageal cancer / Surgery 139 : 224 ~ 235
Hiki N / 2005 / Pylorus-preserving gastrectomy in gastric cancer surgery--open and laparoscopic approaches / Langenbecks Arch Surg 390 : 442 ~ 447
Amersi F / 2007 / The role of sentinel lymph node biopsy in the management of melanoma / Adv Surg 41 : 241 ~ 256
Bembenek A / 2007 / Sentinel lymph node biopsy for gastrointestinal cancers / J Surg Oncol 96 : 342 ~ 352
Hayashi H / 2006 / CT lymphography-navigated sentinel lymph node biopsy in patients with superficial esophageal cancer / Surgery 139 : 224 ~ 235
Hiki N / 2005 / Pylorus-preserving gastrectomy in gastric cancer surgery--open and laparoscopic approaches / Langenbecks Arch Surg 390 : 442 ~ 447
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