Complications and local recurrence following lymphadenectomy
Identifieur interne : 000A20 ( Istex/Curation ); précédent : 000A19; suivant : 000A21Complications and local recurrence following lymphadenectomy
Auteurs : José María Shaw [Nouvelle-Zélande] ; E. M. Rumball [Nouvelle-Zélande]Source :
- British Journal of Surgery [ 0007-1323 ] ; 1990-07.
Abstract
We have retrospectively reviewed the case notes of 208 patients undergoing either cervical, axillary, or inguinal lymphadenectomy with a view to determining the factors that predispose to complications and local recurrence. The most frequent complications were wound infection, seroma formation, paraesthesiae and lymphoedema. The main predisposing factor for complications was anatomical site; wound complications occur with twice the frequency in the inguinal lymphadenectomy group than in the two other sites. Preresection biopsy was also associated with an almost twofold increase in complications, while fine needle aspiration cytology was not. The two major factors influencing the incidence of local recurrence were the stage of the disease process and the use of preresection biopsy. There was a steady increase in the incidence of local recurrence with increasing stage of regional disease. In addition, local recurrence was almost twice as common in patients who had undergone biopsy before resection when compared with patients who either did not have tissue sampling before resection or had fine needle aspiration cytology alone. We conclude that fine needle aspiration cytology is safe and the investigation of choice in patients undergoing lymphadenectomy. In contrast, preresection biopsy should be avoided as it promotes both complications and local recurrence. In addition, wound complications and lymphoedema are frequent following lymphadenectomy, especially following inguinal dissection.
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DOI: 10.1002/bjs.1800770715
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Auckland 1</wicri:regionArea></affiliation></author><author><name sortKey="Rumball, E M" sort="Rumball, E M" uniqKey="Rumball E" first="E. M." last="Rumball">E. M. Rumball</name><affiliation wicri:level="1"><mods:affiliation>University Department of Surgery. Auckland Hospital, Park Road. Auckland 1, New Zealand</mods:affiliation><country xml:lang="fr">Nouvelle-Zélande</country><wicri:regionArea>University Department of Surgery. Auckland Hospital, Park Road. Auckland 1</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:15E545232316FF40F47B7F7ABBDFFF12851C6181</idno><date when="1990" year="1990">1990</date><idno type="doi">10.1002/bjs.1800770715</idno><idno type="url">https://api.istex.fr/document/15E545232316FF40F47B7F7ABBDFFF12851C6181/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000A20</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000A20</idno><idno type="wicri:Area/Istex/Curation">000A20</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Complications and local recurrence following lymphadenectomy</title><author><name sortKey="Shaw, Jose Maria" sort="Shaw, Jose Maria" uniqKey="Shaw J" first="José María" last="Shaw">José María Shaw</name><affiliation wicri:level="1"><mods:affiliation>University Department of Surgery. Auckland Hospital, Park Road. Auckland 1, New Zealand</mods:affiliation><country xml:lang="fr">Nouvelle-Zélande</country><wicri:regionArea>University Department of Surgery. Auckland Hospital, Park Road. Auckland 1</wicri:regionArea></affiliation><affiliation wicri:level="1"><mods:affiliation>University Department of Surgery. Auckland Hospital, Park Road. Auckland 1, New Zealand</mods:affiliation><country xml:lang="fr">Nouvelle-Zélande</country><wicri:regionArea>University Department of Surgery. Auckland Hospital, Park Road. Auckland 1</wicri:regionArea></affiliation></author><author><name sortKey="Rumball, E M" sort="Rumball, E M" uniqKey="Rumball E" first="E. M." last="Rumball">E. M. Rumball</name><affiliation wicri:level="1"><mods:affiliation>University Department of Surgery. Auckland Hospital, Park Road. Auckland 1, New Zealand</mods:affiliation><country xml:lang="fr">Nouvelle-Zélande</country><wicri:regionArea>University Department of Surgery. Auckland Hospital, Park Road. Auckland 1</wicri:regionArea></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">British Journal of Surgery</title><title level="j" type="alt">BRITISH JOURNAL OF SURGERY</title><idno type="ISSN">0007-1323</idno><idno type="eISSN">1365-2168</idno><imprint><biblScope unit="vol">77</biblScope><biblScope unit="issue">7</biblScope><biblScope unit="page" from="760">760</biblScope><biblScope unit="page" to="764">764</biblScope><biblScope unit="page-count">5</biblScope><publisher>John Wiley & Sons, Ltd.</publisher><pubPlace>Bristol</pubPlace><date type="published" when="1990-07">1990-07</date></imprint><idno type="ISSN">0007-1323</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0007-1323</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We have retrospectively reviewed the case notes of 208 patients undergoing either cervical, axillary, or inguinal lymphadenectomy with a view to determining the factors that predispose to complications and local recurrence. The most frequent complications were wound infection, seroma formation, paraesthesiae and lymphoedema. The main predisposing factor for complications was anatomical site; wound complications occur with twice the frequency in the inguinal lymphadenectomy group than in the two other sites. Preresection biopsy was also associated with an almost twofold increase in complications, while fine needle aspiration cytology was not. The two major factors influencing the incidence of local recurrence were the stage of the disease process and the use of preresection biopsy. There was a steady increase in the incidence of local recurrence with increasing stage of regional disease. In addition, local recurrence was almost twice as common in patients who had undergone biopsy before resection when compared with patients who either did not have tissue sampling before resection or had fine needle aspiration cytology alone. We conclude that fine needle aspiration cytology is safe and the investigation of choice in patients undergoing lymphadenectomy. In contrast, preresection biopsy should be avoided as it promotes both complications and local recurrence. In addition, wound complications and lymphoedema are frequent following lymphadenectomy, especially following inguinal dissection.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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