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Gastric lymphatic mapping for sentinel node biopsy by natural orifice transluminal endoscopic surgery (NOTES)

R Cahill, MD, FRCS M Asakuma, MD S Perretta, MD, PhD B Dallemagne, MD J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Jan 2009;09(01). URL: http://websurg.com/doi/vd01en2299

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  • 2009-01-15
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This video demonstrates fully how NOTES can facilitate 'cherry-picking' of sentinel nodes from the perigastric lymph basins (including the retropyloric space) after gastroscopic lymphatic mapping of a site in the stomach in an experimental model. It is proposed that this could be partnered with advanced endoscopic resective techniques such as Submucosal Endoscopic Dissection (SED) in order to allow definitive endoscopic excision of early stage gastric cancers. This video is reproduced here by kind permission of Surgical Endoscopy. 2008 Sep 24. [Epub ahead of print]. PMID: 18813997 [PubMed - as supplied by publisher]