Fluorescent guided lymph node harvest in laparoscopic Wilms
nephroureterectomy - a new technique
- Maximilian Pachl
Abstract
Lymph node harvest is an integral part of Wilms tumor surgery with both
SIOP and COG protocols asking for more than 6 lymph nodes to best
evaluate for nodal spread and a subsequent need for intensification of
treatment. The majority of studies show that in both open and minimally
invasive resections the median number of nodes removed is 4. Indocyanine
green and near infrared fluorescence may be the key to solving this
problem. In adult gynaecology, colorectal and breast cancers, ICG is
used to identify sentinel nodes and facilitate nodal harvest. This
report describes its use in Wilms tumor