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Lumpectomy and Sentinel Lymph Node Biopsy Using Lumicell System for Intraoperative Detection of Residual Cancer

Barbara Smith, MD, PhD
Massachusetts General Hospital

1. Introduction

2. Marking Patient

3. Dissection

  1. Incision
  2. Mobilize Tumor
  3. Resect Tumor

4. Clip and Ink Specimen to Demarcate Orientation

5. Hemostasis

6. Take Shave Margins

7. Examine Specimen Imaging

8. Use Lumicell System to Examine Margins

  1. Initialize Lumicell System
  2. Systematically Examine Surfaces
  3. Take Further Margins at Positive Signal
  4. Confirm Negative Signals and Capture Images

9. Mobilize Tissue for Cosmetic Closure

10. Sentinel Lymph Node Biopsy

  1. Incision
  2. Dissection
  3. Use Probe to Guide Resection of Node
  4. Count and Image Node

11. Closure

  1. Irrigation and Hemostasis
  2. Inject Marcaine
  3. Place Stitch in Clavipectoral Fascia
  4. Place Clips to Mark Cavity
  5. Suture

12. Post-op Remarks on Lumicell System Utilization