Risk factor analysis for massive lymphatic ascites after laparoscopic retroperitonal lymphadenectomy in gynecologic cancers and treatment using intranodal lymphangiography with glue embolization
Identifieur interne : 000B55 ( Main/Exploration ); précédent : 000B54; suivant : 000B56Risk factor analysis for massive lymphatic ascites after laparoscopic retroperitonal lymphadenectomy in gynecologic cancers and treatment using intranodal lymphangiography with glue embolization
Auteurs : Tae-Wook Kong [Corée du Sud] ; Suk-Joon Chang [Corée du Sud] ; Jinoo Kim [Corée du Sud] ; Jiheum Paek [Corée du Sud] ; Su Hyun Kim [Corée du Sud] ; Je Hwan Won [Corée du Sud] ; Hee-Sug Ryu [Corée du Sud]Source :
- Journal of Gynecologic Oncology [ 2005-0380 ] ; 2016.
Abstract
To evaluate risk factors for massive lymphatic ascites after laparoscopic retroperitoneal lymphadenectomy in gynecologic cancer and the feasibility of treatments using intranodal lymphangiography (INLAG) with glue embolization.
A retrospective analysis of 234 patients with gynecologic cancer who received laparoscopic retroperitonal lymphadenectomy between April 2006 and November 2015 was done. In June 2014, INLAG with glue embolization was initiated to manage massive lymphatic ascites. All possible clinicopathologic factors related to massive lymphatic ascites were determined in the pre-INLAG group (n=163). Clinical courses between pre-INLAG group and post-INLAG group (n=71) were compared.
In the pre-INLAG group (n=163), four patients (2.5%) developed massive lymphatic ascites postoperatively. Postoperative lymphatic ascites was associated with liver cirrhosis (three cirrhotic patients, p<0.001). In the post-INLAG group, one patient with massive lymphatic ascites had a congestive heart failure and first received INLAG with glue embolization. She had pelvic drain removed within 7 days after INLAG. The mean duration of pelvic drain and hospital stay decreased after the introduction of INLAG (13.2 days vs. 10.9 days, p=0.001; 15.2 days vs. 12.6 days, p=0.001). There was no evidence of recurrence after this procedure.
Underlying medical conditions related to the reduced effective circulating volume, such as liver cirrhosis and heart failure, may be associated with massive lymphatic ascites after retroperitoneal lymphadenectomy. INLAG with glue embolization can be an alternative treatment options to treat leaking lymphatic channels in patients with massive lymphatic leakage.
Url:
DOI: 10.3802/jgo.2016.27.e44
PubMed: 27171674
PubMed Central: 4864520
Affiliations:
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Suwon,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="A2">Department of Obstetrics and Gynecology, Ajou University School of Medicine, Suwon,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Chang, Suk Joon" sort="Chang, Suk Joon" uniqKey="Chang S" first="Suk-Joon" last="Chang">Suk-Joon Chang</name><affiliation wicri:level="1"><nlm:aff id="A1">Gynecologic Cancer Center, Ajou University School of Medicine, Suwon,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="A2">Department of Obstetrics and Gynecology, Ajou University School of Medicine, Suwon,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Kim, Jinoo" sort="Kim, Jinoo" uniqKey="Kim J" first="Jinoo" last="Kim">Jinoo Kim</name><affiliation wicri:level="1"><nlm:aff id="A3">Department of Radiology, Ajou University School of Medicine, Suwon,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Paek, Jiheum" sort="Paek, Jiheum" uniqKey="Paek J" first="Jiheum" last="Paek">Jiheum Paek</name><affiliation wicri:level="1"><nlm:aff id="A1">Gynecologic Cancer Center, Ajou University School of Medicine, Suwon,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="A2">Department of Obstetrics and Gynecology, Ajou University School of Medicine, Suwon,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Kim, Su Hyun" sort="Kim, Su Hyun" uniqKey="Kim S" first="Su Hyun" last="Kim">Su Hyun Kim</name><affiliation wicri:level="1"><nlm:aff id="A1">Gynecologic Cancer Center, Ajou University School of Medicine, Suwon,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Won, Je Hwan" sort="Won, Je Hwan" uniqKey="Won J" first="Je Hwan" last="Won">Je Hwan Won</name><affiliation wicri:level="1"><nlm:aff id="A3">Department of Radiology, Ajou University School of Medicine, Suwon,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Ryu, Hee Sug" sort="Ryu, Hee Sug" uniqKey="Ryu H" first="Hee-Sug" last="Ryu">Hee-Sug Ryu</name><affiliation wicri:level="1"><nlm:aff id="A1">Gynecologic Cancer Center, Ajou University School of Medicine, Suwon,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="A2">Department of Obstetrics and Gynecology, Ajou University School of Medicine, Suwon,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Journal of Gynecologic Oncology</title><idno type="ISSN">2005-0380</idno><idno type="eISSN">2005-0399</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objective</title><p>To evaluate risk factors for massive lymphatic ascites after laparoscopic retroperitoneal lymphadenectomy in gynecologic cancer and the feasibility of treatments using intranodal lymphangiography (INLAG) with glue embolization.</p></sec><sec><title>Methods</title><p>A retrospective analysis of 234 patients with gynecologic cancer who received laparoscopic retroperitonal lymphadenectomy between April 2006 and November 2015 was done. In June 2014, INLAG with glue embolization was initiated to manage massive lymphatic ascites. All possible clinicopathologic factors related to massive lymphatic ascites were determined in the pre-INLAG group (n=163). Clinical courses between pre-INLAG group and post-INLAG group (n=71) were compared.</p></sec><sec><title>Results</title><p>In the pre-INLAG group (n=163), four patients (2.5%) developed massive lymphatic ascites postoperatively. Postoperative lymphatic ascites was associated with liver cirrhosis (three cirrhotic patients, p<0.001). In the post-INLAG group, one patient with massive lymphatic ascites had a congestive heart failure and first received INLAG with glue embolization. She had pelvic drain removed within 7 days after INLAG. The mean duration of pelvic drain and hospital stay decreased after the introduction of INLAG (13.2 days vs. 10.9 days, p=0.001; 15.2 days vs. 12.6 days, p=0.001). There was no evidence of recurrence after this procedure.</p></sec><sec><title>Conclusion</title><p>Underlying medical conditions related to the reduced effective circulating volume, such as liver cirrhosis and heart failure, may be associated with massive lymphatic ascites after retroperitoneal lymphadenectomy. INLAG with glue embolization can be an alternative treatment options to treat leaking lymphatic channels in patients with massive lymphatic leakage.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Frey, Mk" uniqKey="Frey M">MK Frey</name></author><author><name sortKey="Ward, Nm" uniqKey="Ward N">NM Ward</name></author><author><name sortKey="Caputo, Ta" uniqKey="Caputo T">TA Caputo</name></author><author><name sortKey="Taylor, J" uniqKey="Taylor J">J Taylor</name></author><author><name sortKey="Worley, Mj" uniqKey="Worley M">MJ Worley</name></author><author><name sortKey="Slomovitz, Bm" uniqKey="Slomovitz B">BM Slomovitz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Aalami, Oo" uniqKey="Aalami O">OO Aalami</name></author><author><name sortKey="Allen, Db" uniqKey="Allen D">DB Allen</name></author><author><name sortKey="Organ, Ch" uniqKey="Organ C">CH 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uniqKey="Rakowski J">JA Rakowski</name></author><author><name sortKey="James, Ja" uniqKey="James J">JA James</name></author><author><name sortKey="Jeppson, Cn" uniqKey="Jeppson C">CN Jeppson</name></author><author><name sortKey="Ingersoll, Sb" uniqKey="Ingersoll S">SB Ingersoll</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rossi, Ec" uniqKey="Rossi E">EC Rossi</name></author><author><name sortKey="Jackson, A" uniqKey="Jackson A">A Jackson</name></author><author><name sortKey="Ivanova, A" uniqKey="Ivanova A">A Ivanova</name></author><author><name sortKey="Boggess, Jf" uniqKey="Boggess J">JF Boggess</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sinno, Ak" uniqKey="Sinno A">AK Sinno</name></author><author><name sortKey="Fader, An" uniqKey="Fader A">AN Fader</name></author><author><name sortKey="Roche, Kl" uniqKey="Roche K">KL Roche</name></author><author><name sortKey="Giuntoli, Rl" uniqKey="Giuntoli R">RL Giuntoli</name></author><author><name sortKey="Tanner, Ej" uniqKey="Tanner E">EJ Tanner</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jewell, El" uniqKey="Jewell E">EL Jewell</name></author><author><name sortKey="Huang, Jj" uniqKey="Huang J">JJ Huang</name></author><author><name sortKey="Abu Rustum, Nr" uniqKey="Abu Rustum N">NR Abu-Rustum</name></author><author><name sortKey="Gardner, Gj" uniqKey="Gardner G">GJ Gardner</name></author><author><name sortKey="Brown, Cl" uniqKey="Brown C">CL Brown</name></author><author><name sortKey="Sonoda, Y" uniqKey="Sonoda Y">Y Sonoda</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Charoenkwan, K" uniqKey="Charoenkwan K">K Charoenkwan</name></author><author><name sortKey="Kietpeerakool, C" uniqKey="Kietpeerakool C">C Kietpeerakool</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Corée du Sud</li></country></list><tree><country name="Corée du Sud"><noRegion><name sortKey="Kong, Tae Wook" sort="Kong, Tae Wook" uniqKey="Kong T" first="Tae-Wook" last="Kong">Tae-Wook Kong</name></noRegion><name sortKey="Chang, Suk Joon" sort="Chang, Suk Joon" uniqKey="Chang S" first="Suk-Joon" last="Chang">Suk-Joon Chang</name><name sortKey="Chang, Suk Joon" sort="Chang, Suk Joon" uniqKey="Chang S" first="Suk-Joon" last="Chang">Suk-Joon Chang</name><name sortKey="Kim, Jinoo" sort="Kim, Jinoo" uniqKey="Kim J" first="Jinoo" last="Kim">Jinoo Kim</name><name sortKey="Kim, Su Hyun" sort="Kim, Su Hyun" uniqKey="Kim S" first="Su Hyun" last="Kim">Su Hyun Kim</name><name sortKey="Kong, Tae Wook" sort="Kong, Tae Wook" uniqKey="Kong T" first="Tae-Wook" last="Kong">Tae-Wook Kong</name><name sortKey="Paek, Jiheum" sort="Paek, Jiheum" uniqKey="Paek J" first="Jiheum" last="Paek">Jiheum Paek</name><name sortKey="Paek, Jiheum" sort="Paek, Jiheum" uniqKey="Paek J" first="Jiheum" last="Paek">Jiheum Paek</name><name sortKey="Ryu, Hee Sug" sort="Ryu, Hee Sug" uniqKey="Ryu H" first="Hee-Sug" last="Ryu">Hee-Sug Ryu</name><name sortKey="Ryu, Hee Sug" sort="Ryu, Hee Sug" uniqKey="Ryu H" first="Hee-Sug" last="Ryu">Hee-Sug Ryu</name><name sortKey="Won, Je Hwan" sort="Won, Je Hwan" uniqKey="Won J" first="Je Hwan" last="Won">Je Hwan Won</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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