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. 2015 Jan 27;7(1):1–9. doi: 10.4240/wjgs.v7.i1.1

Table 1.

Cinical trials that validated the importance of sentinel lymph node surgery for gastric cancer in a current decade

Ref. Year n Detection rate (%) Sensitivity (%) Main results
Kitagawa et al[19] 2014 397 97.50 93.00 The proportion of false negatives was 46% (13/28) after a learning period. False negatives remained at 14% (4/28) even by examining additional sections of GNs by paraffin section
Stojanovic et al[60] 2013 137 98.20 100 Highly successful mapping and biopsy of SLNs, as well as highest sensitivity was demonstrated and IHC study might enable “ultra staging”
Dong et al[61] 2012 23 100 100 SLN-guided minimally invasive surgery could be safely performed in EGC according to feasible criteria
Park do et al[62] 2011 68 91.20 100 Simultaneous ICG and (99m)Tc-ASC-guided laparoscopic sentinel basin dissection is an effective tool for gastric cancer SN mapping
Kelder et al[34] 2010 212 99.50 97.00 LBD dissection based on IREE is a safe method of nodal dissection in patients with T1 or limited T2 tumors
Tajima et al[22] 2009 56 96.40 T1; 97.2 T2 or T3; 72.2 SN mapping guided by ICG fluorescence imaging is useful for predicting the metastasis in lymph nodes in gastric cancer with cT1-stage cancer
Rino et al[63] 2007 43 93.00 100 SN mapping seems sufficient in T1 or T2 gastric cancer
Morita et al[66] 2007 53 100 82 The accuracy of the SNNS procedure for detecting SNs in patients with early gastric cancer was 96% at the occult metastasis level
Ichikura et al[67] 2006 80 100 93 Dissecting the lymph node stations only where the tracers are distributed is recommended for patients with no metastatic SNs
Zulfikaroglu et al[64] 2005 32 97 100 SLN biopsy using gamma probe in gastric cancer is a feasible procedure with high sensitivity and accuracy

SLN: Sentinel lymph node; EGC: Early gastric cancer; ICG: Indocyanine green; LBD: Lymphatic basin dissection; IREE: Infrared ray electronic endoscopy; SNNS: Sentinel node navigation surgery.