EP1322 Identification of upper and lower lymphatic pathways during mapping of sentinel pelvic lymph nodes in a patient with endometrial cancer. (1st November 2019)

• Record Type: Journal Article
• Authors: Biliatis, I; Mitsopoulos, V
• Is Part Of: International journal of gynecological cancer. Volume 29(2019)Supplement 4
• Page Start: A662
• Page End: A662
• Publication Date: 2019-11-01
• Subjects: Generative organs, Female -- Cancer -- Periodicals; 616.99465
• DOI: 10.1136/ijgc-2019-ESGO.1326
• Languages: English
• ISSNs: 1048-891X

Abstract

Abstract : Introduction/Background: It is well known that the lymphatic drainage of the uterus is mainly performed through 2 distinct pathways. The first is called upper pathway and drains the lymph from the parametrium and through the external iliac artery, while the second is called lower pathway and uses a system through the internal iliac artery. These 2 pathways most of the times are not connected. The lower pathway usually drains at the presacral lympatic basin. Methodology: With ICG injection at the cervix and using the Xi Robotic system we managed to clearly identify these 2 distinctive pathways Results: We believe that this is important as identifying a pre-sacral lymph node through the identification of the lower lymphatic pathway could potentially improve the sensitivity of the sentinel node technique in patients with endometrial cancer Conclusion: Identification of both lymphatic pathways using ICG and Robotic technology is feasible and might improve the sensitivity and detection rate of sentinel node in endometrial cancer patients Disclosure: Nothing to disclose