Feasibility and Safety of Video Endoscopic Inguinal Lymphadenectomy in Vulvar Cancer: A Systematic Review
Identifieur interne : 001D88 ( Main/Exploration ); précédent : 001D87; suivant : 001D89Feasibility and Safety of Video Endoscopic Inguinal Lymphadenectomy in Vulvar Cancer: A Systematic Review
Auteurs : Chai-E Liu ; Yan Lu ; De-Sheng YaoSource :
- PLoS ONE [ 1932-6203 ] ; 2015.
Descripteurs français
- KwdFr :
- Chirurgie vidéoassistée, Complications postopératoires (anatomopathologie), Durée du séjour, Durée opératoire, Femelle, Humains, Infections bactériennes (anatomopathologie), Infections bactériennes (microbiologie), Infections bactériennes (étiologie), Lymphadénectomie (), Lymphadénectomie (instrumentation), Lymphocèle (anatomopathologie), Lymphocèle (étiologie), Métastase lymphatique, Noeuds lymphatiques (), Noeuds lymphatiques (anatomopathologie), Perte sanguine peropératoire (), Résultat thérapeutique, Tumeurs de la vulve (), Tumeurs de la vulve (anatomopathologie), Vulve (), Vulve (anatomopathologie).
- MESH :
- anatomopathologie : Complications postopératoires, Infections bactériennes, Lymphocèle, Noeuds lymphatiques, Tumeurs de la vulve, Vulve.
- microbiologie : Infections bactériennes.
- étiologie : Infections bactériennes, Lymphadénectomie, Lymphocèle.
- Chirurgie vidéoassistée, Durée du séjour, Durée opératoire, Femelle, Humains, Lymphadénectomie, Métastase lymphatique, Noeuds lymphatiques, Perte sanguine peropératoire, Résultat thérapeutique, Tumeurs de la vulve, Vulve.
English descriptors
- KwdEn :
- Bacterial Infections (etiology), Bacterial Infections (microbiology), Bacterial Infections (pathology), Blood Loss, Surgical (prevention & control), Female, Humans, Length of Stay, Lymph Node Excision (instrumentation), Lymph Node Excision (methods), Lymph Nodes (pathology), Lymph Nodes (surgery), Lymphatic Metastasis, Lymphocele (etiology), Lymphocele (pathology), Operative Time, Postoperative Complications (pathology), Treatment Outcome, Video-Assisted Surgery, Vulva (blood supply), Vulva (pathology), Vulva (surgery), Vulvar Neoplasms (pathology), Vulvar Neoplasms (surgery).
- MESH :
- blood supply : Vulva.
- etiology : Bacterial Infections, Lymphocele.
- instrumentation : Lymph Node Excision.
- methods : Lymph Node Excision.
- microbiology : Bacterial Infections.
- pathology : Bacterial Infections, Lymph Nodes, Lymphocele, Postoperative Complications, Vulva, Vulvar Neoplasms.
- prevention & control : Blood Loss, Surgical.
- surgery : Lymph Nodes, Vulva, Vulvar Neoplasms.
- Female, Humans, Length of Stay, Lymphatic Metastasis, Operative Time, Treatment Outcome, Video-Assisted Surgery.
Abstract
To systematically review previous studies and to evaluate the feasibility and safety of video endoscopic inguinal lymphadenectomy (VEIL) in vulvar cancer.
We conducted a comprehensive review of studies published through September 2014 to retrieve all relevant articles. The PubMed, EMBASE, Web of Science, Cochrane Library, Wan Fang Data and Chinese National Knowledge Infrastructure databases were systematically searched for all relevant studies published in English or Chinese through September 2014. Data were abstracted independently by two reviewers, and any differences were resolved by consensus.
A total of 9 studies containing 249 VEIL procedures involving 138 patients were reviewed. Of the 249 VEIL procedures, only 1 (0.4%) was converted to an open procedure for suturing because of injury to the femoral vein. The range of operative time was 62 to 110 minutes, and the range of estimated blood loss was 5.5 to 22 ml. The range of the number of harvested lymph nodes was 7.3 to 16. The length of hospital stay varied from 7 to 13.6 days across reports. The incidence of lymph node metastasis was 19.7% (27/138), and the recurrence rate was 4.3% (3/70) within 3 to 41 months of follow-up. One or more short-term complications were documented in 18 of 138 (13.0%) patients. Complications after VEIL were observed in 14 (10.13%) patients and in 15 (6.0%) of the VEIL cases, including major lymphocyst formation in 9 (3.6%), lymphorrhea in 2 (0.8%), inguinal wound infection without wound breakdown in 3 (1.2%) and lymphedema in 1 (0.4%).
VEIL appears to be a feasible procedure in the management of vulvar cancer. There may be potential benefits that result in lower morbidity compared to traditional methods, but this has yet to be objectively proven.
Url:
DOI: 10.1371/journal.pone.0140873
PubMed: 26496391
PubMed Central: 4619862
Affiliations:
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Le document en format XML
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id="aff001"></nlm:aff></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Bacterial Infections (etiology)</term><term>Bacterial Infections (microbiology)</term><term>Bacterial Infections (pathology)</term><term>Blood Loss, Surgical (prevention & control)</term><term>Female</term><term>Humans</term><term>Length of Stay</term><term>Lymph Node Excision (instrumentation)</term><term>Lymph Node Excision (methods)</term><term>Lymph Nodes (pathology)</term><term>Lymph Nodes (surgery)</term><term>Lymphatic Metastasis</term><term>Lymphocele (etiology)</term><term>Lymphocele (pathology)</term><term>Operative Time</term><term>Postoperative Complications (pathology)</term><term>Treatment Outcome</term><term>Video-Assisted Surgery</term><term>Vulva (blood supply)</term><term>Vulva (pathology)</term><term>Vulva (surgery)</term><term>Vulvar Neoplasms (pathology)</term><term>Vulvar Neoplasms (surgery)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Chirurgie vidéoassistée</term><term>Complications postopératoires (anatomopathologie)</term><term>Durée du séjour</term><term>Durée opératoire</term><term>Femelle</term><term>Humains</term><term>Infections bactériennes (anatomopathologie)</term><term>Infections bactériennes (microbiologie)</term><term>Infections bactériennes (étiologie)</term><term>Lymphadénectomie ()</term><term>Lymphadénectomie (instrumentation)</term><term>Lymphocèle (anatomopathologie)</term><term>Lymphocèle (étiologie)</term><term>Métastase lymphatique</term><term>Noeuds lymphatiques ()</term><term>Noeuds lymphatiques (anatomopathologie)</term><term>Perte sanguine peropératoire ()</term><term>Résultat thérapeutique</term><term>Tumeurs de la vulve ()</term><term>Tumeurs de la vulve (anatomopathologie)</term><term>Vulve ()</term><term>Vulve (anatomopathologie)</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Complications postopératoires</term><term>Infections bactériennes</term><term>Lymphocèle</term><term>Noeuds lymphatiques</term><term>Tumeurs de la vulve</term><term>Vulve</term></keywords><keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Vulva</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Bacterial Infections</term><term>Lymphocele</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Lymph Node Excision</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lymph Node Excision</term></keywords><keywords scheme="MESH" qualifier="microbiologie" xml:lang="fr"><term>Infections bactériennes</term></keywords><keywords scheme="MESH" qualifier="microbiology" xml:lang="en"><term>Bacterial Infections</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Bacterial Infections</term><term>Lymph Nodes</term><term>Lymphocele</term><term>Postoperative Complications</term><term>Vulva</term><term>Vulvar Neoplasms</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Blood Loss, Surgical</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lymph Nodes</term><term>Vulva</term><term>Vulvar Neoplasms</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Infections bactériennes</term><term>Lymphadénectomie</term><term>Lymphocèle</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Humans</term><term>Length of Stay</term><term>Lymphatic Metastasis</term><term>Operative Time</term><term>Treatment Outcome</term><term>Video-Assisted Surgery</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Chirurgie vidéoassistée</term><term>Durée du séjour</term><term>Durée opératoire</term><term>Femelle</term><term>Humains</term><term>Lymphadénectomie</term><term>Métastase lymphatique</term><term>Noeuds lymphatiques</term><term>Perte sanguine peropératoire</term><term>Résultat thérapeutique</term><term>Tumeurs de la vulve</term><term>Vulve</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="sec001"><title>Objective</title><p>To systematically review previous studies and to evaluate the feasibility and safety of video endoscopic inguinal lymphadenectomy (VEIL) in vulvar cancer.</p></sec><sec id="sec002"><title>Methods</title><p>We conducted a comprehensive review of studies published through September 2014 to retrieve all relevant articles. The PubMed, EMBASE, Web of Science, Cochrane Library, Wan Fang Data and Chinese National Knowledge Infrastructure databases were systematically searched for all relevant studies published in English or Chinese through September 2014. Data were abstracted independently by two reviewers, and any differences were resolved by consensus.</p></sec><sec id="sec003"><title>Results</title><p>A total of 9 studies containing 249 VEIL procedures involving 138 patients were reviewed. Of the 249 VEIL procedures, only 1 (0.4%) was converted to an open procedure for suturing because of injury to the femoral vein. The range of operative time was 62 to 110 minutes, and the range of estimated blood loss was 5.5 to 22 ml. The range of the number of harvested lymph nodes was 7.3 to 16. The length of hospital stay varied from 7 to 13.6 days across reports. The incidence of lymph node metastasis was 19.7% (27/138), and the recurrence rate was 4.3% (3/70) within 3 to 41 months of follow-up. One or more short-term complications were documented in 18 of 138 (13.0%) patients. Complications after VEIL were observed in 14 (10.13%) patients and in 15 (6.0%) of the VEIL cases, including major lymphocyst formation in 9 (3.6%), lymphorrhea in 2 (0.8%), inguinal wound infection without wound breakdown in 3 (1.2%) and lymphedema in 1 (0.4%).</p></sec><sec id="sec004"><title>Conclusions</title><p>VEIL appears to be a feasible procedure in the management of vulvar cancer. There may be potential benefits that result in lower morbidity compared to traditional methods, but this has yet to be objectively proven.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Siegel, R" uniqKey="Siegel R">R Siegel</name></author><author><name sortKey="Ma, J" uniqKey="Ma J">J Ma</name></author><author><name sortKey="Zou, Z" uniqKey="Zou Z">Z Zou</name></author><author><name sortKey="Jemal, A" uniqKey="Jemal A">A Jemal</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Raspagliesi, F" uniqKey="Raspagliesi F">F Raspagliesi</name></author><author><name sortKey="Ditto, A" uniqKey="Ditto A">A Ditto</name></author><author><name sortKey="Paladini, D" uniqKey="Paladini D">D Paladini</name></author><author><name sortKey="Fontanelli, R" uniqKey="Fontanelli R">R Fontanelli</name></author><author><name sortKey="Stefanon, B" uniqKey="Stefanon B">B Stefanon</name></author><author><name 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