RAISN: Robot-assisted Indocyanine Green-guided Sentinel Node Biopsy in Clinical Stage I Germ Cell Tumor

被引:0
|
作者
Vermeulen-Spohn, Marieke Sofie [1 ]
Pongratanakul, Pailin [1 ]
Thy, Sophia [1 ]
Dukart, Juergen [2 ]
Albers, Peter [1 ]
Che, Yue [1 ]
机构
[1] Heinrich Heine Univ Dusseldorf, Univ Hosp Dusseldorf, Dept Urol, Moorenstr 5 Univ Klinikum, D-40225 Dusseldorf, Germany
[2] Forschungszentrum Julich, Inst Neurosci & Med, Julich, Germany
来源
关键词
Testicular cancer; Nodal staging; Occult metastasis; Sentinel lymph nodes; Lymph node biopsy; Retroperitoneal; lymphadenectomy; Indocyanine green; MORTALITY; CANCER;
D O I
10.1016/j.euros.2024.06.004
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Robot-assisted imaging-guided sentinel lymph node biopsy is a novel technique that has not been widely investigated in testicular germ cell tumor (GCT). Current staging strategies have poor accuracy for prediction of occult metastatic disease in clinical stage I GCT. Feasibility studies have used 99mTc-nanocolloid staining during laparoscopic procedures. The RAISN trial is investigating robotassisted lymph node resection guided by indocyanine green fluorescence imaging. This new diagnostic approach is potentially more precise and easier to apply, and is widely available. Confirmation of its utility could change the management of newly diagnosed GCT by reducing overtreatment and treatment-related toxicity. (c) 2024 The Author(s). Published by Elsevier B.V. on behalf of European Association of Urology. This is an open access article under the CC BY license (http://creativecommons. org/licenses/by/4.0/).
引用
收藏
页码:55 / 59
页数:5
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