tumorsMalignant tumoursMalignant tumours2224-50572587-6813Rosoncoweb10.18027/2224-5057-2023-13-1-17-23tumors-1100Research ArticleОБЗОРЫ И АНАЛИТИКАREVIEWS AND ANALYSISВозможности ICG-флуоресцентной визуализации лимфатических узлов у больных раком мочевого пузыряICG fluorescence imaging for the evaluation of lymph nodes in bladder cancerПавловВ. Н.PavlovV. N.

Валентин Н. Павлов, акад. РАН, д. м. н., профессор, ректор Университета, заведующий кафедры урологии с курсом ИДПО

Уфа, Республика Башкортостан

 

Valentin N. Pavlov, Academician of the Russian Academy of Sciences, the University Rector, the Head of the Urology Department with the Course of the Institute of Postgraduate Education

Ufa, The Republic of Bashkortostan

pavlov@bashgmu.ruУрманцевМ. Ф.UrmantsevM. F.

Марат Ф. Урманцев, к. м. н., доцент кафедры урологии, доцент кафедры онкологии с курсами онкологии и патологической анатомии ИДПО

Уфа, Республика Башкортостан

Marat F. Urmantsev, MD, PhD, Assistant Professor of the Department of Urology, Assistant Professor of the Department of Oncology with the Course of Oncology and Anatomical Pathology

Ufa, The Republic of Bashkortostan

urmantsev85@mail.ruБакеевМ. Р.BakeevM. R.

Марат Р. Бакеев

Уфа, Республика Башкортостан

Marat R. Bakeev

Ufa, The Republic of Bashkortostan

m.r.bakeev@bk.ruФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава РоссииРоссияBashkir State Medical UniversityRussian Federation2023070320231311723Copyright © Павлов В.Н., Урманцев М.Ф., Бакеев М.Р., 20232023Павлов В.Н., Урманцев М.Ф., Бакеев М.Р.Pavlov V.N., Urmantsev M.F., Bakeev M.R.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.malignanttumors.org/jour/article/view/1100

«Золотым стандартом» лечения агрессивных форм рака мочевого пузыря является радикальная цистэктомия. Важным этапом является проведение тазовой лимфаденэктомии. Данная процедура имеет решающее значение для стадирования опухолевого процесса, определения последующей тактики лечения и улучшения результатов оперативного вмешательства. В настоящее время активно развивается концепция сигнального лимфатического узла, позволяющая снизить необходимый уровень диссекции лимфатических узлов таза. Уменьшение количества резецированных лимфатических узлов повышает уровень хирургической безопасности пациента. Ведущим способом интраоперационной визуализации сигнальных лимфатических узлов предстает флуоресценция индоцианином зеленым в ближнем инфракрасном диапазоне спектра. Перспективы данного метода диагностики при радикальной цистэктомии у больных раком мочевого пузыря определяют вектор будущих научных исследований в этой области.

Radical cystectomy is the gold standard treatment for aggressive bladder cancer. Pelvic lymphadenectomy is an important step. This procedure is crucial for the cancer staging, determination of further treatment strategy, and optimization of surgical outcomes. Currently, the sentinel lymph node concept is being actively developed, which allows to reduce the required extent of pelvic lymph node dissection. Decrease in number of removed pelvic lymph node improves surgical safety of the patient. Indocyanine green near-infrared fluorescence is the main approach to the intraoperative visualization of sentinel lymph nodes. The prospects of this diagnostic technique application in radical cystectomy performed for bladder cancer determine the vector of future scientific research in this area.

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The authors declare that there are no conflicts of interest present.