Morbidity and oncologic outcome after saphenous vein-sparing inguinal lymphadenectomy in melanoma patients
Identifieur interne : 000361 ( Main/Exploration ); précédent : 000360; suivant : 000362Morbidity and oncologic outcome after saphenous vein-sparing inguinal lymphadenectomy in melanoma patients
Auteurs : Johannes Baur [Allemagne] ; Katrin Mathe [Allemagne] ; Anja Gesierich [Allemagne] ; Gerhard Weyandt [Allemagne] ; Armin Wiegering [Allemagne] ; Christoph-Thomas Germer [Allemagne] ; Martin Gasser [Allemagne] ; Jörg O. W. Pelz [Allemagne]Source :
- World Journal of Surgical Oncology [ 1477-7819 ] ; 2017.
Abstract
Inguinal lymph node dissection (LND) is a surgical procedure with a high morbidity rate. Variations in surgical procedure, such as sparing of the saphenous vein, have been proposed to reduce surgical morbidity. While sparing of the saphenous vein has shown promising results in earlier studies, data for this procedure in melanoma patients are rare. In this retrospective study, we report 10-year findings on the effects of saphenous vein-sparing LND on surgical morbidity and oncologic outcomes in melanoma patients.
A retrospective analysis of melanoma patients receiving inguinal LND in our facility between 2003 and 2013 was performed. Patients were divided into two groups: the saphenous vein resection group and the vein sparing group. Surgical morbidity, including wound infection, lymphatic fistula, severe bleeding, neurological complications, and chronic lymphedema, as well as regional recurrence-free survival were investigated.
A total of 106 patients were included in this study; of these, the saphenous vein was spared in 41 patients (38.7%). The rate of lymphatic fistula was 51.6 vs. 48.8%, wound infection occurred in 31.3 vs. 24.4%, and patients suffered from chronic lymphedema in 30.0 vs. 26.5% in V. saphena magna resection vs. sparing group. Differences observed, however, were not significant. No difference in regional recurrence-free survival between the two study groups was detected.
The results of our retrospective analysis could not confirm the promising results reported in earlier studies. Thus, sparing of the saphenous vein appears to be optional.
Url:
DOI: 10.1186/s12957-017-1164-x
PubMed: 28490340
PubMed Central: 5425969
Affiliations:
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first="Armin" last="Wiegering">Armin Wiegering</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 1378 7891</institution-id><institution-id institution-id-type="GRID">grid.411760.5</institution-id><institution>Department of General, Visceral, Vascular and Pediatric Surgery,</institution><institution>University Hospital Würzburg,</institution></institution-wrap>Würzburg, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Würzburg</wicri:regionArea></affiliation></author><author><name sortKey="Germer, Christoph Thomas" sort="Germer, Christoph Thomas" uniqKey="Germer C" first="Christoph-Thomas" last="Germer">Christoph-Thomas Germer</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 1378 7891</institution-id><institution-id institution-id-type="GRID">grid.411760.5</institution-id><institution>Department of General, 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first="Jörg O. W." last="Pelz">Jörg O. W. Pelz</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 1378 7891</institution-id><institution-id institution-id-type="GRID">grid.411760.5</institution-id><institution>Department of General, Visceral, Vascular and Pediatric Surgery,</institution><institution>University Hospital Würzburg,</institution></institution-wrap>Würzburg, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Würzburg</wicri:regionArea></affiliation></author></analytic><series><title level="j">World Journal of Surgical Oncology</title><idno type="eISSN">1477-7819</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Inguinal lymph node dissection (LND) is a surgical procedure with a high morbidity rate. Variations in surgical procedure, such as sparing of the saphenous vein, have been proposed to reduce surgical morbidity. While sparing of the saphenous vein has shown promising results in earlier studies, data for this procedure in melanoma patients are rare. In this retrospective study, we report 10-year findings on the effects of saphenous vein-sparing LND on surgical morbidity and oncologic outcomes in melanoma patients.</p></sec><sec><title>Methods</title><p>A retrospective analysis of melanoma patients receiving inguinal LND in our facility between 2003 and 2013 was performed. Patients were divided into two groups: the saphenous vein resection group and the vein sparing group. Surgical morbidity, including wound infection, lymphatic fistula, severe bleeding, neurological complications, and chronic lymphedema, as well as regional recurrence-free survival were investigated.</p></sec><sec><title>Results</title><p>A total of 106 patients were included in this study; of these, the saphenous vein was spared in 41 patients (38.7%). The rate of lymphatic fistula was 51.6 vs. 48.8%, wound infection occurred in 31.3 vs. 24.4%, and patients suffered from chronic lymphedema in 30.0 vs. 26.5% in V. saphena magna resection vs. sparing group. Differences observed, however, were not significant. No difference in regional recurrence-free survival between the two study groups was detected.</p></sec><sec><title>Conclusions</title><p>The results of our retrospective analysis could not confirm the promising results reported in earlier studies. Thus, sparing of the saphenous vein appears to be optional.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Pflugfelder, A" uniqKey="Pflugfelder A">A Pflugfelder</name></author><author><name sortKey="Kochs, C" uniqKey="Kochs C">C Kochs</name></author><author><name sortKey="Blum, A" uniqKey="Blum A">A Blum</name></author><author><name sortKey="Capellaro, M" uniqKey="Capellaro M">M Capellaro</name></author><author><name sortKey="Czeschik, C" uniqKey="Czeschik C">C Czeschik</name></author><author><name sortKey="Dettenborn, T" uniqKey="Dettenborn T">T Dettenborn</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Garbe, C" uniqKey="Garbe C">C Garbe</name></author><author><name sortKey="Hauschild, A" uniqKey="Hauschild A">A Hauschild</name></author><author><name sortKey="Volkenandt, M" uniqKey="Volkenandt M">M Volkenandt</name></author><author><name sortKey="Schadendorf, D" uniqKey="Schadendorf 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Galliot-Repkat</name></author><author><name sortKey="Cailliod, R" uniqKey="Cailliod R">R Cailliod</name></author><author><name sortKey="Trost, O" uniqKey="Trost O">O Trost</name></author><author><name sortKey="Danino, A" uniqKey="Danino A">A Danino</name></author><author><name sortKey="Collet, E" uniqKey="Collet E">E Collet</name></author><author><name sortKey="Lambert, D" uniqKey="Lambert D">D Lambert</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="White, Rr" uniqKey="White R">RR White</name></author><author><name sortKey="Stanley, We" uniqKey="Stanley W">WE Stanley</name></author><author><name sortKey="Johnson, Jl" uniqKey="Johnson J">JL Johnson</name></author><author><name sortKey="Tyler, Ds" uniqKey="Tyler D">DS Tyler</name></author><author><name sortKey="Seigler, Hf" uniqKey="Seigler H">HF Seigler</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kretschmer, L" uniqKey="Kretschmer L">L Kretschmer</name></author><author><name sortKey="Thoms, Km" uniqKey="Thoms K">KM Thoms</name></author><author><name sortKey="Peeters, S" uniqKey="Peeters S">S Peeters</name></author><author><name sortKey="Haenssle, H" uniqKey="Haenssle H">H Haenssle</name></author><author><name sortKey="Bertsch, Hp" uniqKey="Bertsch H">HP Bertsch</name></author><author><name sortKey="Emmert, S" uniqKey="Emmert S">S Emmert</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Allemagne</li></country></list><tree><country name="Allemagne"><noRegion><name sortKey="Baur, Johannes" sort="Baur, Johannes" uniqKey="Baur J" first="Johannes" last="Baur">Johannes Baur</name></noRegion><name sortKey="Gasser, Martin" sort="Gasser, Martin" uniqKey="Gasser M" first="Martin" last="Gasser">Martin Gasser</name><name sortKey="Germer, Christoph Thomas" sort="Germer, Christoph Thomas" uniqKey="Germer C" first="Christoph-Thomas" last="Germer">Christoph-Thomas Germer</name><name sortKey="Gesierich, Anja" sort="Gesierich, Anja" uniqKey="Gesierich A" first="Anja" last="Gesierich">Anja Gesierich</name><name sortKey="Mathe, Katrin" sort="Mathe, Katrin" uniqKey="Mathe K" first="Katrin" last="Mathe">Katrin Mathe</name><name sortKey="Pelz, Jorg O W" sort="Pelz, Jorg O W" uniqKey="Pelz J" first="Jörg O. W." last="Pelz">Jörg O. W. Pelz</name><name sortKey="Weyandt, Gerhard" sort="Weyandt, Gerhard" uniqKey="Weyandt G" first="Gerhard" last="Weyandt">Gerhard Weyandt</name><name sortKey="Wiegering, Armin" sort="Wiegering, Armin" uniqKey="Wiegering A" first="Armin" last="Wiegering">Armin Wiegering</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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