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PAPEL DEL GANGLIO CENTINELA EN CÁNCER DIGESTIVO WALTER ROBLES VALVERDE MR3 CIRUGÍA GENERAL EsSALUD HOSPITAL NACIONAL EDGARDO REBAGLIATI MARTINS DEPARTAMENTO DE CIRUGIA GENERAL Y DIGESTIVA DR IVAN VOJVODIC  JEFE
INTRODUCCIÓN ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Historical Review of Lymphatic Mapping in  Gastrointestinal Malignancies. Annals of Surgical Oncology. 2004.
INTRODUCCIÓN ,[object Object],[object Object],[object Object],Historical Review of Lymphatic Mapping in  Gastrointestinal Malignancies. Annals of Surgical Oncology. 2004.
HISTORIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Historical Review of Lymphatic Mapping in  Gastrointestinal Malignancies. Annals of Surgical Oncology. 2004.
ESTÓMAGO ,[object Object],[object Object],Solitary lymph node metastasis in gastric  cancer. Li C. J Gastrointest Surg 2008;12:550–4
ESTÓMAGO: TÉCNICA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The accuracy of sentinel node mapping according to T stage in patients with gastric cancer) Rabin. Gastric cancer 2010.
ESTÓMAGO: TÉCNICA Sentinel node navigation in early Stage gaStric cancer – updated data and current status Kitagawa.  Scandinavian Journal of Surgery 95: 256–259, 2006
[object Object],[object Object],[object Object],[object Object],ESTÓMAGO: TÉCNICA Efficacy of Different Technical Procedures for Sentinel Lymph Node Biopsy in Gastric Cancer Staging.  Annals of surgical oncology Vol 14, num 7. 2004. 2028-2035 ,[object Object]
ESTOMAGO ,[object Object],[object Object],[object Object],[object Object],[object Object],Sentinel node navigation in early Stage gaStric cancer – updated data and current status Kitagawa.  Scandinavian Journal of Surgery 95: 256–259, 2006
ESTÓMAGO: T1 N0 M0 Sentinel node navigation in early Stage gaStric cancer – updated data and current status Kitagawa.  Scandinavian Journal of Surgery 95: 256–259, 2006
ESTÓMAGO: T1 N0 M0 Sentinel node navigation in early Stage gaStric cancer – updated data and current status Kitagawa.  Scandinavian Journal of Surgery 95: 256–259, 2006 La ausencia de Ganglio Centinela permite una cirugìa menos radical
[object Object],[object Object],ESTÓMAGO: T1 N0 M0 Nótese las 7 posibilidades de tratamiento quirúrgico planteadas para el Early Cancer. NO MAS D2 STANDAR T1 < 4cm. Tasa de detección: 95% Tasa de Falsos Neg. 4%
ESTÓMAGO: T1Y T2 N0 M0 Sentinel lymph node biopsy in gastric cancer: Possible applications and limits the journal of cancer surgery. Cozzaglio. Oct 2010
ESTÓMAGO The Accuracy of Sentinel Node mapping according to T stage in patients with gastric cancer Igor Rabin. Gastric Cancer. 2010. 76%
ESTÓMAGO The Accuracy of Sentinel Node mapping according to T stage in patients with gastric cancer Igor Rabin. Gastric Cancer. 2010.
ESTÓMAGO The Accuracy of Sentinel Node mapping according to T stage in patients with gastric cancer Igor Rabin. Gastric Cancer. 2010. A MAYOR T MAYOR NUMERO DE FALSOS NEGATIVOS (DISMINUYE LA SENSIBILIDAD) SU UTILIDAD ES  MAYOR EN  LOS T1
GANGLIO CENTINELA EN CANCER GASTRICO CONCLUSION ,[object Object],[object Object]
COLORECTAL ,[object Object],[object Object],[object Object],[object Object],Current Status and future prospects of sentinel node navigation surgery for gastrointestinals cancers. Kitagawa. Annals of Surgical Oncology 2004.
COLORECTAL ,[object Object],[object Object],Current Status and future prospects of sentinel node navigation surgery for gastrointestinals cancers. Kitagawa. Annals of Surgical Oncology 2004.
COLORECTAL ,[object Object],[object Object],[object Object],[object Object],[object Object],Current Status and future prospects of sentinel node navigation surgery for gastrointestinals cancers. Kitagawa. Annals of Surgical Oncology 2004.
COLORECTAL ,[object Object],[object Object],[object Object],[object Object],[object Object],Sentinel lymph node mapping in colon cancer Surgical endoscopy 2004
COLON Sentinel lymph node mapping in colon cancer.  Surgical endoscopy 2004
COLON Sentinel lymph node mapping in colon cancer.  Surgical endoscopy 2004 The investigators found a higher 5-year survival rate among patients with RT-PCR–negative nodes, as compared with those who had at least one RT-PCR– positive node (91% vs 50%;  p = 0.02).
COLON Sentinel lymph node mapping in colon cancer.  Surgical endoscopy 2004
COLON ,[object Object],[object Object],[object Object],[object Object],[object Object],Sentinel lymph node mapping in colon cancer.  Surgical endoscopy 2004
COLON: SLN mapping techniques  Intraoperative lymphatic mapping (in vivo) Sentinel lymph node mapping in colon cancer.  Surgical endoscopy 2004
COLON: Intraoperative lymphatic mapping during laparoscopic resection Technique and clinical consequences of sentinel  lymph node biopsy in colorectal cancer Surgical Oncology (2007) 16, S129–S132
COLON: SLN mapping techniques  Intraoperative lymphatic mapping (ex vivo) Sentinel lymph node mapping in colon cancer.  Surgical endoscopy 2004
COLON Sentinel lymph node biopsy in colorectal cancer.  Surgical oncology 2008
COLON Sentinel lymph node biopsy in colorectal cancer.  Surgical oncology 2008
COLON Sentinel lymph node biopsy in colorectal cancer.  Surgical oncology 2008
COLON Sentinel lymph node biopsy in colorectal cancer.  Surgical oncology 2008
ESÓFAGO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Current Status and future prospects of sentinel node navigation surgery for gastrointestinals cancers. Kitagawa. Annals of Surgical Oncology 2004.
ESOFAGO ,[object Object],[object Object],Current Status and future prospects of sentinel node navigation surgery for gastrointestinals cancers. Kitagawa. Annals of Surgical Oncology 2004.
HÍGADO ,[object Object],[object Object],[object Object],Current Status and future prospects of sentinel node navigation surgery for gastrointestinals cancers. Kitagawa. Annals of Surgical Oncology 2004.
PÁNCREAS ,[object Object],[object Object],Current Status and future prospects of sentinel node navigation surgery for gastrointestinals cancers. Kitagawa. Annals of Surgical Oncology 2004.
PÁNCREAS The pronostic value of micrometastases in  pancreatic cancer  Surgical Oncology (2008)
PÁNCREAS The pronostic value of micrometastases in  pancreatic cancer  Surgical Oncology (2008)
CONCLUSIÓN ,[object Object],[object Object],[object Object],[object Object],[object Object],Current Status and future prospects of sentinel node navigation surgery for gastrointestinals cancers. Kitagawa. Annals of Surgical Oncology 2004.
 

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GANGLIO CENTINELA EN CIRUGIA DIGESTIVA

  • 1. PAPEL DEL GANGLIO CENTINELA EN CÁNCER DIGESTIVO WALTER ROBLES VALVERDE MR3 CIRUGÍA GENERAL EsSALUD HOSPITAL NACIONAL EDGARDO REBAGLIATI MARTINS DEPARTAMENTO DE CIRUGIA GENERAL Y DIGESTIVA DR IVAN VOJVODIC JEFE
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7. ESTÓMAGO: TÉCNICA Sentinel node navigation in early Stage gaStric cancer – updated data and current status Kitagawa. Scandinavian Journal of Surgery 95: 256–259, 2006
  • 8.
  • 9.
  • 10. ESTÓMAGO: T1 N0 M0 Sentinel node navigation in early Stage gaStric cancer – updated data and current status Kitagawa. Scandinavian Journal of Surgery 95: 256–259, 2006
  • 11. ESTÓMAGO: T1 N0 M0 Sentinel node navigation in early Stage gaStric cancer – updated data and current status Kitagawa. Scandinavian Journal of Surgery 95: 256–259, 2006 La ausencia de Ganglio Centinela permite una cirugìa menos radical
  • 12.
  • 13. ESTÓMAGO: T1Y T2 N0 M0 Sentinel lymph node biopsy in gastric cancer: Possible applications and limits the journal of cancer surgery. Cozzaglio. Oct 2010
  • 14. ESTÓMAGO The Accuracy of Sentinel Node mapping according to T stage in patients with gastric cancer Igor Rabin. Gastric Cancer. 2010. 76%
  • 15. ESTÓMAGO The Accuracy of Sentinel Node mapping according to T stage in patients with gastric cancer Igor Rabin. Gastric Cancer. 2010.
  • 16. ESTÓMAGO The Accuracy of Sentinel Node mapping according to T stage in patients with gastric cancer Igor Rabin. Gastric Cancer. 2010. A MAYOR T MAYOR NUMERO DE FALSOS NEGATIVOS (DISMINUYE LA SENSIBILIDAD) SU UTILIDAD ES MAYOR EN LOS T1
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22. COLON Sentinel lymph node mapping in colon cancer. Surgical endoscopy 2004
  • 23. COLON Sentinel lymph node mapping in colon cancer. Surgical endoscopy 2004 The investigators found a higher 5-year survival rate among patients with RT-PCR–negative nodes, as compared with those who had at least one RT-PCR– positive node (91% vs 50%; p = 0.02).
  • 24. COLON Sentinel lymph node mapping in colon cancer. Surgical endoscopy 2004
  • 25.
  • 26. COLON: SLN mapping techniques Intraoperative lymphatic mapping (in vivo) Sentinel lymph node mapping in colon cancer. Surgical endoscopy 2004
  • 27. COLON: Intraoperative lymphatic mapping during laparoscopic resection Technique and clinical consequences of sentinel lymph node biopsy in colorectal cancer Surgical Oncology (2007) 16, S129–S132
  • 28. COLON: SLN mapping techniques Intraoperative lymphatic mapping (ex vivo) Sentinel lymph node mapping in colon cancer. Surgical endoscopy 2004
  • 29. COLON Sentinel lymph node biopsy in colorectal cancer. Surgical oncology 2008
  • 30. COLON Sentinel lymph node biopsy in colorectal cancer. Surgical oncology 2008
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