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01-12-2021 | Gastrectomy | Letter to the Editor

ICG Fluorescence Navigation Surgery in Gastric Cancer: Role and Relevance

Authors: Syed Nusrath, Subramanyeshwar Rao Thammineedi, Sujit Chyau Patnaik, Ajesh Raj Saksena

Published in: Indian Journal of Surgical Oncology | Issue 4/2021

Excerpt

We read with interest the randomized controlled trial (RCT) “Safety and efficacy of Indocyanine green (ICG) tracer-guided lymph node dissection during laparoscopic radical gastrectomy in patients with gastric cancer” by Chen et al. [1] from a single high-volume center performing annually 800 gastrectomies. The mean number of nodes retrieved in the ICG arm was significantly higher than that in the non-ICG (50.5 vs 42, P < 0.001) with comparable surgical morbidity in both the arms. Similarly, noncompliance rate was lower in the ICG arm (31.8% vs 57.4%, P < 0.001). The authors need to be commended for conducting the first RCT of its kind. We have a few comments on this article. …

Chen QY, Xie JW, Zhong Q, Wang JB, Lin JX, Lu J, Cao LL, Lin M, Tu RH, Huang ZN, Lin JL (2020) Safety and efficacy of indocyanine green tracer-guided lymph node dissection during laparoscopic radical gastrectomy in patients with gastric cancer: a randomized clinical trial. JAMA Surg 155(4):300–311CrossRef

Chen QY, Zhong Q, Liu ZY, Xie JW, Wang JB, Lin JX, Lu J, Cao LL, Lin M, Tu RH, Huang ZN (2019) Does noncompliance in lymph node dissection affect oncological efficacy in gastric cancer patients undergoing radical gastrectomy? Ann Surg Oncol 26(6):1759–1771CrossRef

de Steur W, Hartgrink HH, Dikken JL, Putter H, Van de Velde CJ (2015) Quality control of lymph node dissection in the Dutch Gastric Cancer Trial. Br J Surg 102(11):1388–1393CrossRef

Cuschieri A, Weeden S, Fielding J, Bancewicz J, Craven J, Joypaul V, Sydes M (1999) Patient survival after D 1 and D 2 resections for gastric cancer: long-term results of the MRC randomized surgical trial. Br J Cancer 79(9):1522–30CrossRef

Chang-Ming Huang. Indocyanine green tracer using in laparoscopic gastrectomy with lymph node dissection (ICGTinLG). Available from https://clinicaltrials.gov/ct2/record/NCT03050879[Accessed date 24 December 2020]

Title: ICG Fluorescence Navigation Surgery in Gastric Cancer: Role and Relevance
Authors: Syed Nusrath
Subramanyeshwar Rao Thammineedi
Sujit Chyau Patnaik
Ajesh Raj Saksena
Publication date: 01-12-2021
Publisher: Springer India
Keywords: Gastrectomy
Gastric Cancer
Gastric Cancer
Gastrectomy
Published in: Indian Journal of Surgical Oncology / Issue 4/2021
Print ISSN: 0975-7651
Electronic ISSN: 0976-6952
DOI: https://doi.org/10.1007/s13193-021-01411-8

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ICG Fluorescence Navigation Surgery in Gastric Cancer: Role and Relevance

Excerpt

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