Gastrointestinal cancer and sentinel node navigation surgery
Article first published online: 21 FEB 2002
Copyright © 2002 Wiley-Liss, Inc.
Journal of Surgical Oncology
Volume 79, Issue 3, pages 188–193, March 2002
How to Cite
Kitagawa, Y. and Kitajima, M. (2002), Gastrointestinal cancer and sentinel node navigation surgery. J. Surg. Oncol., 79: 188–193. doi: 10.1002/jso.10065
- Issue published online: 21 FEB 2002
- Article first published online: 21 FEB 2002
- Manuscript Accepted: 18 OCT 2001
- sentinel node;
- gastrointestinal cancer;
- esophageal cancer;
- minimally invasive surgery;
- lymph node metastasis
In the twentieth century, lymph node dissection based on metastatic distribution has developed as the standard procedure for surgical management of gastrointestinal cancer . The fear that invisible micrometastases might be present has encouraged aggressive resection with lymphadenectomy to control the disease. However, the prognostic benefits of extensive surgery are still unknown and the universal application of radical surgery may affect surgical morbidity, mortality, and quality of life after surgery, particularly in patients without lymphatic spread. In the twenty-first century, a novel technology to detect micrometastases without extensive surgical resection is required to establish an individualized surgical management approach to gastrointestinal cancer. Lymphatic mapping techniques are now used in the control of superficial malignancies, such as malignant melanoma and breast cancer, providing a novel tool that may also be of use for gastrointestinal cancers. J. Surg. Oncol. 2002;79:188–193. © 2002 Wiley–Liss, Inc.