Sentinel lymph node mapping in endometrial cancer. Robotic versus laparoscopic detection system

Abstract

Summary:  Objectiv Comparison of indocyanine green sentinel lymph node detection devices efficinacy in endometrial carcinoma. Robotic Firefly Da Vinci fluorescence imaging system (Intuitive Surgical Inc., Sunnyvale, CA, USA) versus laparoscopic Novadaq Pinpoint near-infrared imaging system (Novadaq, Ontario, Canada) Method 15 patients with stage I endometrial cancer underwent sentinel lymph node biopsy after intracervical application of Indocyanine green. For all of them, the detection was performed sequentially using both evaluated devices. The detection rate, identification match and extent of imaging of the lymphatic system were evaluated Results The detection rate of both systems verified on a set of patients was the same, identical sentinel nodes were identified and the lymphatic system was shown to the same extent. The quality of the display and overall user-friendliness is different due to the applied technologies. Conclusion Both systems used in minimally invasive surgery provide excelent  perioperative imaging of the lymphatic system.