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An Analysis of the Risk Factors and Management of Lymphocele after Pelvic Lymphadenectomy in Patients with Gynecologic Malignancies

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An 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.

RBID : PMC:2843881

Abstract

Objectives

The incidence and risk factors of lymphocele development after pelvic lymphadenectomy were evaluated and its management investigated.

Materials and Methods

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.

Results

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).

Conclusion

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:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2843881

DOI: 10.4143/crt.2004.36.6.377
PubMed: 20368832
PubMed Central: 2843881

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<idno type="ISSN">1598-2998</idno>
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<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>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
  <front><journal-meta><journal-id journal-id-type="nlm-ta">Cancer Res Treat</journal-id>
<journal-id journal-id-type="publisher-id">CRT</journal-id>
<journal-title-group><journal-title>Cancer Research and Treatment : Official Journal of Korean Cancer Association</journal-title>
</journal-title-group>
<issn pub-type="ppub">1598-2998</issn>
<issn pub-type="epub">2005-9256</issn>
<publisher><publisher-name>Korean Cancer Association</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">20368832</article-id>
<article-id pub-id-type="pmc">2843881</article-id>
<article-id pub-id-type="doi">10.4143/crt.2004.36.6.377</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>An Analysis of the Risk Factors and Management of Lymphocele after Pelvic Lymphadenectomy in Patients with Gynecologic Malignancies</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Kim</surname>
<given-names>Hee Yeon</given-names>
</name>
<degrees>M.D.</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Kim</surname>
<given-names>Jae Wook</given-names>
</name>
<degrees>M.D.</degrees>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kim</surname>
<given-names>Sung Hoon</given-names>
</name>
<degrees>M.D.</degrees>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kim</surname>
<given-names>Young Tae</given-names>
</name>
<degrees>M.D.</degrees>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
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<contrib contrib-type="author"><name><surname>Kim</surname>
<given-names>Jae Hoon</given-names>
</name>
<degrees>M.D.</degrees>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea.</aff>
<aff id="A2"><label>2</label>
Institute of Women's Life Science, Yonsei University College of Medicine, Seoul, Korea.</aff>
<aff id="A3"><label>3</label>
BK-21 Project for Medical Science, Yonsei University College of Medicine, Seoul, Korea.</aff>
<author-notes><corresp>Correspondence: Jae Wook Kim, Department of Obstetrics and Gynecology, Yonsei University College of Medicine, 134 Sinchon-dong, Seodaemun-gu, Seoul 120-752, Korea. (Tel) +82-2-361-5490, (Fax) +82-2-313-8357, <email>shkim70@yumc.yonsei.ac.kr</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>12</month>
<year>2004</year>
</pub-date>
<pub-date pub-type="epub"><day>31</day>
<month>12</month>
<year>2004</year>
</pub-date>
<volume>36</volume>
<issue>6</issue>
<fpage>377</fpage>
<lpage>383</lpage>
<history><date date-type="received"><day>04</day>
<month>11</month>
<year>2004</year>
</date>
<date date-type="accepted"><day>06</day>
<month>12</month>
<year>2004</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2004 Korean Cancer Association</copyright-statement>
<copyright-year>2004</copyright-year>
</permissions>
<abstract><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>
</abstract>
<kwd-group><kwd>Lymphocele</kwd>
<kwd>Pelvic lymphadenectomy</kwd>
<kwd>Risk factors</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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An Analysis of the Risk Factors and Management of Lymphocele after Pelvic Lymphadenectomy in Patients with Gynecologic Malignancies

An Analysis of the Risk Factors and Management of Lymphocele after Pelvic Lymphadenectomy in Patients with Gynecologic Malignancies

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