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Near infrared fluorescence lymphatic laparoscopy of the colon and mesocolon
Author(s) -
Ankersmit M.,
van der Pas M. H. G. M.,
van Dam D. A.,
Meijerink W. J. H. J.
Publication year - 2011
Publication title -
colorectal disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.029
H-Index - 89
eISSN - 1463-1318
pISSN - 1462-8910
DOI - 10.1111/j.1463-1318.2011.02787.x
Subject(s) - medicine , colorectal cancer , laparoscopy , sentinel node , surgery , biopsy , melanoma , lymphatic system , laparoscopic surgery , breast cancer , sentinel lymph node , general surgery , cancer , radiology , pathology , cancer research
During surgery, a surgeon relies on the vision of his eyes and the touch of his hands. While laparoscopic surgery for colon cancer has proven to be safe and effective, it still remains a technically difficult procedure. Although it is associated with reduced haptic feedback, by enforcing the power of visual guidance, the loss of this feedback can be (partly) compensated for. Here we describe how the use of near‐infrared dyes and fluorescence laparoscopy could help improve tumour staging and therefore lead to better selection of patients for postoperative adjuvant chemotherapy. More controversially, and analogous to melanoma and breast cancer surgery with sentinel node biopsy, we speculate that local resection with SLN harvesting in early colon cancer might change the therapeutic and surgical strategy in colon cancer.