Surgical device for the detection of sentinel lymph nodes in patients with endometrial, cervical and vulvar cancer.

Dept. of Obstetrics and Gynaecology at the 3rd Medical Faculty and Faculty Hospital Kralovske Vinohrady is the largest oncogynaecological center in Czech Republic with more than 500 new cases treated yearly. Moreover, during the year 2022 there is also an rapid increase of refugees from Ukraine which seek oncological treatment.

 With a development of improved diagnostics of gynecological cancers thanks to cervical cancer screening and centralization of cancer patients into few oncogynaecological centers in Czech Republic it is time to focus on the treatment of early-stage cancers. During such treatment surgery is the cornerstone of the management. During the surgery we search for specific lymph nodes around the original tumour which could be first places for possible metastatic spread. Recently there is a new improved technique introduced for such surgery using indocyanine green and near infrared spectrum detection of such lymph nodes (see picture). Currently we use such such detection only for laparoscopic surgeries, but the data shows that this should be used for open surgery technique as well. Obtaining a hand held camera for ICG detection will enable around another 150 patients that could benefit from this procedure.