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Consensus on surgical technique for sentinel lymph node dissection in cervical cancer
Nicolò Bizzarri1, Andreas Obermair2, Heng-Cheng Hsu3
1UOC Ginecologia Oncologica, Dipartimento di Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
This study established expert consensus on surgical techniques for sentinel lymph node (SLN) dissection in cervical cancer, providing a guide for clinical practice and trials.
Area of Science:
- Gynecologic Oncology
- Surgical Pathology
Background:
- Sentinel lymph node (SLN) dissection is crucial for staging cervical cancer.
- Standardized surgical techniques are needed to improve accuracy and outcomes.
Purpose of the Study:
- To achieve international expert consensus on the optimal surgical technique for SLN dissection in cervical cancer.
Main Methods:
- A modified Delphi method involving a 26-question survey and semistructured interviews with gynecologic oncology surgeons.
- Consensus was defined as 70% agreement among experts.
Main Results:
- Consensus was reached on 15 recommended, 3 optional, and 5 not recommended steps for SLN dissection.
- Key recommendations include using indocyanine green, specific injection sites, minimally invasive approaches, and careful dissection planes.
Conclusions:
- Established consensus provides a surgical guide for SLN dissection in cervical cancer.
- This guide can enhance clinical trials and ensure quality assurance in routine practice.
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