An Analysis of the Risk Factors and Management of Lymphocele after Pelvic Lymphadenectomy in Patients with Gynecologic Malignancies
Identifieur interne : 008866 ( Main/Exploration ); précédent : 008865; suivant : 008867An Analysis of the Risk Factors and Management of Lymphocele after Pelvic Lymphadenectomy in Patients with Gynecologic Malignancies
Auteurs : Hee Yeon Kim [Corée du Sud] ; Jae Wook Kim [Corée du Sud] ; Sung Hoon Kim [Corée du Sud] ; Young Tae Kim [Corée du Sud] ; Jae Hoon Kim [Corée du Sud]Source :
- Cancer Research and Treatment : Official Journal of Korean Cancer Association [ 1598-2998 ] ; 2004.
Abstract
The incidence and risk factors of lymphocele development after pelvic lymphadenectomy were evaluated and its management investigated.
This retrospective study was carried out on 264 patients who received a pelvic lymphadenectomy, between March 1999 and February 2003, due to gynecologic cancer. The patients were classified into two groups; the lymphocele (n=50) and non-lymphocele groups (n=214), as confirmed by ultrasonography, CT scan and MRI. Each group was compared by cancer type and stage, BMI, preoperative Hb, use of pre/postoperative chemotherapy or radiotherapy, number of resected pelvic lymph nodes and the volume of postoperative drainage from a Hemovac® pelvic drain.
Of the 264 patients tested, 15 of 105 cervical cancer (14%), 22 of 115 ovarian cancer (19%) and 11 of 40 endometrial cancer patients (27%), a total of 50 patients (18%), developed lymphoceles. In the lymphocele group (n=50), 13 patients were diagnosed with complicated lymphocele. The BMI and number of resected pelvic lymph nodes were found to be higher in the lymphocele than in the non-lymphocele group (23.94±3.38 vs. 22.52±3.00, p=0.00 and 26.80±14.82 vs. 22.96±10.18, p=0.03, respectively), and showed statistical significance. The occurrence of lymphoceles was lower without postoperative radiotherapy (p=0.01).
Among the 264 patients, a total of 50 patients (18%) developed lymphoceles. The BMI and number of resected lymph nodes were higher in the lymphocele group, and the use of postoperative radiotherapy was associated with a higher risk of lymphoceles. Thirteen of the 50 patients that developed lymphoceles (n=50) required treatment for lymphocele-related complications.
Url:
DOI: 10.4143/crt.2004.36.6.377
PubMed: 20368832
PubMed Central: 2843881
Affiliations:
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uniqKey="Kim H" first="Hee Yeon" last="Kim">Hee Yeon Kim</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Jae Wook" sort="Kim, Jae Wook" uniqKey="Kim J" first="Jae Wook" last="Kim">Jae Wook Kim</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="A2">Institute of Women's Life Science, Yonsei University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Institute of Women's Life Science, Yonsei University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="A3">BK-21 Project for Medical Science, Yonsei University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>BK-21 Project for Medical Science, Yonsei University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Sung Hoon" sort="Kim, Sung Hoon" uniqKey="Kim S" first="Sung Hoon" last="Kim">Sung Hoon Kim</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="A2">Institute of Women's Life Science, Yonsei University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Institute of Women's Life Science, Yonsei University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Young Tae" sort="Kim, Young Tae" uniqKey="Kim Y" first="Young Tae" last="Kim">Young Tae Kim</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="A2">Institute of Women's Life Science, Yonsei University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Institute of Women's Life Science, Yonsei University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Jae Hoon" sort="Kim, Jae Hoon" uniqKey="Kim J" first="Jae Hoon" last="Kim">Jae Hoon Kim</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="A2">Institute of Women's Life Science, Yonsei University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Institute of Women's Life Science, Yonsei University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author></analytic><series><title level="j">Cancer Research and Treatment : Official Journal of Korean Cancer Association</title><idno type="ISSN">1598-2998</idno><idno type="eISSN">2005-9256</idno><imprint><date when="2004">2004</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objectives</title><p>The incidence and risk factors of lymphocele development after pelvic lymphadenectomy were evaluated and its management investigated.</p></sec><sec><title>Materials and Methods</title><p>This retrospective study was carried out on 264 patients who received a pelvic lymphadenectomy, between March 1999 and February 2003, due to gynecologic cancer. The patients were classified into two groups; the lymphocele (n=50) and non-lymphocele groups (n=214), as confirmed by ultrasonography, CT scan and MRI. Each group was compared by cancer type and stage, BMI, preoperative Hb, use of pre/postoperative chemotherapy or radiotherapy, number of resected pelvic lymph nodes and the volume of postoperative drainage from a Hemovac® pelvic drain.</p></sec><sec><title>Results</title><p>Of the 264 patients tested, 15 of 105 cervical cancer (14%), 22 of 115 ovarian cancer (19%) and 11 of 40 endometrial cancer patients (27%), a total of 50 patients (18%), developed lymphoceles. In the lymphocele group (n=50), 13 patients were diagnosed with complicated lymphocele. The BMI and number of resected pelvic lymph nodes were found to be higher in the lymphocele than in the non-lymphocele group (23.94±3.38 vs. 22.52±3.00, p=0.00 and 26.80±14.82 vs. 22.96±10.18, p=0.03, respectively), and showed statistical significance. The occurrence of lymphoceles was lower without postoperative radiotherapy (p=0.01).</p></sec><sec><title>Conclusion</title><p>Among the 264 patients, a total of 50 patients (18%) developed lymphoceles. The BMI and number of resected lymph nodes were higher in the lymphocele group, and the use of postoperative radiotherapy was associated with a higher risk of lymphoceles. Thirteen of the 50 patients that developed lymphoceles (n=50) required treatment for lymphocele-related complications.</p></sec></div></front></TEI><affiliations><list><country><li>Corée du Sud</li></country><region><li>Région capitale de Séoul</li></region><settlement><li>Séoul</li></settlement></list><tree><country name="Corée du Sud"><region name="Région capitale de Séoul"><name sortKey="Kim, Hee Yeon" sort="Kim, Hee Yeon" uniqKey="Kim H" first="Hee Yeon" last="Kim">Hee Yeon Kim</name></region><name sortKey="Kim, Jae Hoon" sort="Kim, Jae Hoon" uniqKey="Kim J" first="Jae Hoon" last="Kim">Jae Hoon Kim</name><name sortKey="Kim, Jae Hoon" sort="Kim, Jae Hoon" uniqKey="Kim J" first="Jae Hoon" last="Kim">Jae Hoon Kim</name><name sortKey="Kim, Jae Wook" sort="Kim, Jae Wook" uniqKey="Kim J" first="Jae Wook" last="Kim">Jae Wook Kim</name><name sortKey="Kim, Jae Wook" sort="Kim, Jae Wook" uniqKey="Kim J" first="Jae Wook" last="Kim">Jae Wook Kim</name><name sortKey="Kim, Jae Wook" sort="Kim, Jae Wook" uniqKey="Kim J" first="Jae Wook" last="Kim">Jae Wook Kim</name><name sortKey="Kim, Sung Hoon" sort="Kim, Sung Hoon" uniqKey="Kim S" first="Sung Hoon" last="Kim">Sung Hoon Kim</name><name sortKey="Kim, Sung Hoon" sort="Kim, Sung Hoon" uniqKey="Kim S" first="Sung Hoon" last="Kim">Sung Hoon Kim</name><name sortKey="Kim, Young Tae" sort="Kim, Young Tae" uniqKey="Kim Y" first="Young Tae" last="Kim">Young Tae Kim</name><name sortKey="Kim, Young Tae" sort="Kim, Young Tae" uniqKey="Kim Y" first="Young Tae" last="Kim">Young Tae Kim</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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