Comprehensive laparoscopic lymphadenectomy from the deep circumflex iliac vein to the renal veins: Impact on quality of life.
Identifieur interne : 000415 ( PubMed/Checkpoint ); précédent : 000414; suivant : 000416Comprehensive laparoscopic lymphadenectomy from the deep circumflex iliac vein to the renal veins: Impact on quality of life.
Auteurs : Katherine A. O'Hanlan [États-Unis] ; Margaret S. Sten [États-Unis] ; Deanna M. Halliday [États-Unis] ; Ragini B. Sastry [États-Unis] ; Danielle M. Struck [États-Unis] ; Kathryn F. Uthman [États-Unis]Source :
- Gynecologic oncology [ 1095-6859 ] ; 2017.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Enquêtes et questionnaires, Femelle, Humains, Laparoscopie (), Laparoscopie (effets indésirables), Lymphadénectomie (), Lymphadénectomie (effets indésirables), Lymphoedème (étiologie), Qualité de vie, Tumeurs de l'endomètre (), Tumeurs de l'endomètre (physiopathologie), Veine iliaque commune (), Veines rénales ().
- MESH :
- effets indésirables : Laparoscopie, Lymphadénectomie.
- physiopathologie : Tumeurs de l'endomètre.
- étiologie : Lymphoedème.
- Adulte d'âge moyen, Enquêtes et questionnaires, Femelle, Humains, Laparoscopie, Lymphadénectomie, Qualité de vie, Tumeurs de l'endomètre, Veine iliaque commune, Veines rénales.
English descriptors
- KwdEn :
- Endometrial Neoplasms (physiopathology), Endometrial Neoplasms (surgery), Female, Humans, Iliac Vein (surgery), Laparoscopy (adverse effects), Laparoscopy (methods), Lymph Node Excision (adverse effects), Lymph Node Excision (methods), Lymphedema (etiology), Middle Aged, Quality of Life, Renal Veins (surgery), Surveys and Questionnaires.
- MESH :
- adverse effects : Laparoscopy, Lymph Node Excision.
- etiology : Lymphedema.
- methods : Laparoscopy, Lymph Node Excision.
- physiopathology : Endometrial Neoplasms.
- surgery : Endometrial Neoplasms, Iliac Vein, Renal Veins.
- Female, Humans, Middle Aged, Quality of Life, Surveys and Questionnaires.
Abstract
Compare quality of life metrics for consecutive patients having total laparoscopic hysterectomy, bilateral salpingo-oophorectomy (TLHBSO) with and without comprehensive pelvic/aortic lymphadenectomy (CPALND) from proximal to the distal circumflex iliac nodes and vessels to the renal vessels.
DOI: 10.1016/j.ygyno.2016.12.018
PubMed: 28081883
Affiliations:
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pubmed:28081883Le document en format XML
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Suite 104, Portola Valley, CA 94028</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author></analytic><series><title level="j">Gynecologic oncology</title><idno type="eISSN">1095-6859</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Endometrial Neoplasms (physiopathology)</term><term>Endometrial Neoplasms (surgery)</term><term>Female</term><term>Humans</term><term>Iliac Vein (surgery)</term><term>Laparoscopy (adverse effects)</term><term>Laparoscopy (methods)</term><term>Lymph Node Excision (adverse effects)</term><term>Lymph Node Excision (methods)</term><term>Lymphedema (etiology)</term><term>Middle Aged</term><term>Quality of Life</term><term>Renal Veins (surgery)</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Laparoscopie ()</term><term>Laparoscopie (effets indésirables)</term><term>Lymphadénectomie ()</term><term>Lymphadénectomie (effets indésirables)</term><term>Lymphoedème (étiologie)</term><term>Qualité de vie</term><term>Tumeurs de l'endomètre ()</term><term>Tumeurs de l'endomètre (physiopathologie)</term><term>Veine iliaque commune ()</term><term>Veines rénales ()</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Laparoscopy</term><term>Lymph Node Excision</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Laparoscopie</term><term>Lymphadénectomie</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Laparoscopy</term><term>Lymph Node Excision</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Tumeurs de l'endomètre</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Endometrial Neoplasms</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Endometrial Neoplasms</term><term>Iliac Vein</term><term>Renal Veins</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Quality of Life</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Laparoscopie</term><term>Lymphadénectomie</term><term>Qualité de vie</term><term>Tumeurs de l'endomètre</term><term>Veine iliaque commune</term><term>Veines rénales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Compare quality of life metrics for consecutive patients having total laparoscopic hysterectomy, bilateral salpingo-oophorectomy (TLHBSO) with and without comprehensive pelvic/aortic lymphadenectomy (CPALND) from proximal to the distal circumflex iliac nodes and vessels to the renal vessels.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28081883</PMID><DateCreated><Year>2017</Year><Month>01</Month><Day>13</Day></DateCreated><DateCompleted><Year>2017</Year><Month>06</Month><Day>21</Day></DateCompleted><DateRevised><Year>2017</Year><Month>06</Month><Day>21</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1095-6859</ISSN><JournalIssue CitedMedium="Internet"><Volume>144</Volume><Issue>3</Issue><PubDate><Year>2017</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Gynecologic oncology</Title><ISOAbbreviation>Gynecol. Oncol.</ISOAbbreviation></Journal><ArticleTitle>Comprehensive laparoscopic lymphadenectomy from the deep circumflex iliac vein to the renal veins: Impact on quality of life.</ArticleTitle><Pagination><MedlinePgn>592-597</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0090-8258(16)31682-1</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ygyno.2016.12.018</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Compare quality of life metrics for consecutive patients having total laparoscopic hysterectomy, bilateral salpingo-oophorectomy (TLHBSO) with and without comprehensive pelvic/aortic lymphadenectomy (CPALND) from proximal to the distal circumflex iliac nodes and vessels to the renal vessels.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Analysis of mailed survey responses with 25 validated questions regarding musculoskeletal/lower extremity, gastro-intestinal, abdominal, urological, and energetic/activities of daily living. Data analyzed with Chi-Square tests of Association, Mann-Whitney U tests and follow up regression analysis.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Of 533 surveys mailed, 197 (37%) responded; 57 (28.9%) received CPALND. Age and parity were not different between groups, but the TLHBSO group had a higher BMI (31.4 v. 25.8, p<0.001), and were less likely to receive chemotherapy (CT), radiotherapy (RT), or both (CT+RT). In the CPALND cohort, a mean of 47 nodes were removed, of which 26% were positive: 21% pelvic, 11% inframesenteric, 11% infrarenal. Both groups had similar total quality of life total scores of 86/92. Those having CPALND did not report more swelling but they did report more tingling/numbness (2.8 v. 3.5, p<0.001). A series of hierarchical regressions confirmed that CPALND, per se, did not significantly reduce lower extremity scores apart from CT (p=0.402) and CT+RT (p=0.108). However, CPALND did predict for lower extremity swelling after receipt of CT, RT, or CT+RT. Node count, in total, or from each basin, did not correlate with any QOL decrement.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">CPALND did not cause lymphedema or a reduction in overall quality of life. Only after controlling for BMI, and receipt of radiation and/or chemotherapy were QOL scores mildly reduced. Routine omission of the distal circumflex nodes from the dissection may account for the low risk of lymphedema from the dissection. Larger prospective studies are needed to determine the optimal staging protocols that address all the likely sites of metastasis and recurrence, and optimize survival, while maintaining our patients' quality of life.</AbstractText><CopyrightInformation>Copyright © 2016 Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>O'Hanlan</LastName><ForeName>Katherine A</ForeName><Initials>KA</Initials><AffiliationInfo><Affiliation>Laparoscopic Institute for Gynecology and Oncology, 4370 Alpine Rd. Suite 104, Portola Valley, CA 94028, United States. Electronic address: Kate.OHanlanMD@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sten</LastName><ForeName>Margaret S</ForeName><Initials>MS</Initials><AffiliationInfo><Affiliation>Laparoscopic Institute for Gynecology and Oncology, 4370 Alpine Rd. Suite 104, Portola Valley, CA 94028, United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Halliday</LastName><ForeName>Deanna M</ForeName><Initials>DM</Initials><AffiliationInfo><Affiliation>California State University, Fresno, CA, United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sastry</LastName><ForeName>Ragini B</ForeName><Initials>RB</Initials><AffiliationInfo><Affiliation>Kaiser Permanente, Roseville, CA, United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Struck</LastName><ForeName>Danielle M</ForeName><Initials>DM</Initials><AffiliationInfo><Affiliation>Laparoscopic Institute for Gynecology and Oncology, 4370 Alpine Rd. Suite 104, Portola Valley, CA 94028, United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Uthman</LastName><ForeName>Kathryn F</ForeName><Initials>KF</Initials><AffiliationInfo><Affiliation>Laparoscopic Institute for Gynecology and Oncology, 4370 Alpine Rd. Suite 104, Portola Valley, CA 94028, United States.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>01</Month><Day>09</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Gynecol Oncol</MedlineTA><NlmUniqueID>0365304</NlmUniqueID><ISSNLinking>0090-8258</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D016889" MajorTopicYN="N">Endometrial Neoplasms</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007084" MajorTopicYN="N">Iliac Vein</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010535" MajorTopicYN="N">Laparoscopy</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011788" MajorTopicYN="N">Quality of Life</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012082" MajorTopicYN="N">Renal Veins</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Aortic lymphadenectomy</Keyword><Keyword MajorTopicYN="N">Lymphedema</Keyword><Keyword MajorTopicYN="N">Pelvic lymphadenectomy</Keyword><Keyword MajorTopicYN="N">Quality of life</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>11</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2016</Year><Month>12</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>12</Month><Day>19</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>1</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>6</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>1</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28081883</ArticleId><ArticleId IdType="pii">S0090-8258(16)31682-1</ArticleId><ArticleId IdType="doi">10.1016/j.ygyno.2016.12.018</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Californie</li></region></list><tree><country name="États-Unis"><region name="Californie"><name sortKey="O Hanlan, Katherine A" sort="O Hanlan, Katherine A" uniqKey="O Hanlan K" first="Katherine A" last="O'Hanlan">Katherine A. O'Hanlan</name></region><name sortKey="Halliday, Deanna M" sort="Halliday, Deanna M" uniqKey="Halliday D" first="Deanna M" last="Halliday">Deanna M. Halliday</name><name sortKey="Sastry, Ragini B" sort="Sastry, Ragini B" uniqKey="Sastry R" first="Ragini B" last="Sastry">Ragini B. Sastry</name><name sortKey="Sten, Margaret S" sort="Sten, Margaret S" uniqKey="Sten M" first="Margaret S" last="Sten">Margaret S. Sten</name><name sortKey="Struck, Danielle M" sort="Struck, Danielle M" uniqKey="Struck D" first="Danielle M" last="Struck">Danielle M. Struck</name><name sortKey="Uthman, Kathryn F" sort="Uthman, Kathryn F" uniqKey="Uthman K" first="Kathryn F" last="Uthman">Kathryn F. Uthman</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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