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ICG-Guided Sentinel Lymph Node Sampling during Robotic Retroauricular Neck Dissection in cN0 Oral Cancer

Authors
 Ji Hoon Kim  ;  Hyung Kwon Byeon  ;  Da Hee Kim  ;  Se-Heon Kim  ;  Eun Chang Choi  ;  Yoon Woo Koh 
Citation
 OTOLARYNGOLOGY-HEAD AND NECK SURGERY, Vol.162(3) : 410-413, 2020-03 
Journal Title
 OTOLARYNGOLOGY-HEAD AND NECK SURGERY 
ISSN
 0194-5998 
Issue Date
2020-03
MeSH
Aged ; Carcinoma, Squamous Cell / pathology ; Carcinoma, Squamous Cell / surgery* ; Female ; Humans ; Indocyanine Green / administration & dosage* ; Male ; Middle Aged ; Mouth Neoplasms / pathology ; Mouth Neoplasms / surgery* ; Neck Dissection / methods* ; Robotic Surgical Procedures* ; Sentinel Lymph Node Biopsy / methods* ; Spectroscopy, Near-Infrared
Keywords
indocyanine green ; near-infrared fluorescence imaging ; oral squamous cell carcinoma ; retroauricular approach ; robotic neck dissection ; sentinel lymph node
Abstract
In this study, we sought to evaluate the clinical feasibility of indocyanine green (ICG)-guided sentinel lymph node (SLN) sampling during robotic retroauricular neck dissection (RAND) in patients with cN0 oral cancer. Nine adult patients diagnosed with T1 to T2 oral squamous cell carcinoma were consecutively recruited. All of them underwent transoral partial glossectomy and robotic RAND (levels I-III) simultaneously. Twelve hours prior to surgery, ICG was injected into the 4 quadrants around primary tongue tumors. During robotic RAND, intraoperative and ex vivo ICG-stained LNs were identified using the Firefly system and examined for the presence of fluorescence. ICG-stained LNs were identified in all patients. Thirty-one ICG-stained LNs were detected in 313 retrieved LNs (9.9%). Occult metastases were detected among the ICG-stained LNs in 2 patients (22.2%). There was no metastasis identified in the ICG-unstained LNs. Upstaging rates, sensitivity, specificity, and negative predictive value of ICG-guided SLN sampling were 22.2%, 100%, 91.5%, and 100%, respectively.
Full Text
https://journals.sagepub.com/doi/10.1177/0194599819900264
DOI
10.1177/0194599819900264
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Koh, Yoon Woo(고윤우)
Kim, Da Hee(김다희) ORCID logo https://orcid.org/0000-0001-7286-1334
Kim, Se Heon(김세헌)
Choi, Eun Chang(최은창)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/179091
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