Complications of laparoscopic pelvic lymph node dissection.
Identifieur interne : 005049 ( PubMed/Checkpoint ); précédent : 005048; suivant : 005050Complications of laparoscopic pelvic lymph node dissection.
Auteurs : L R Kavoussi [États-Unis] ; E. Sosa ; P. Chandhoke ; G. Chodak ; R V Clayman ; H R Hadley ; K R Loughlin ; H C Ruckle ; D. Rukstalis ; W. SchuesslerSource :
- The Journal of urology [ 0022-5347 ] ; 1993.
Descripteurs français
- KwdFr :
- Adénocarcinome (), Adénocarcinome (secondaire), Complications peropératoires (étiologie), Humains, Laparoscopie, Lymphadénectomie (), Lymphadénectomie (effets indésirables), Mâle, Métastase lymphatique, Pelvis, Tumeurs de la prostate (), Tumeurs de la prostate (anatomopathologie), Études de suivi, Études rétrospectives.
- MESH :
- anatomopathologie : Tumeurs de la prostate.
- effets indésirables : Lymphadénectomie.
- secondaire : Adénocarcinome.
- étiologie : Complications peropératoires.
- Adénocarcinome, Humains, Laparoscopie, Lymphadénectomie, Mâle, Métastase lymphatique, Pelvis, Tumeurs de la prostate, Études de suivi, Études rétrospectives.
English descriptors
- KwdEn :
- Adenocarcinoma (secondary), Adenocarcinoma (surgery), Follow-Up Studies, Humans, Intraoperative Complications (etiology), Laparoscopy, Lymph Node Excision (adverse effects), Lymph Node Excision (methods), Lymphatic Metastasis, Male, Pelvis, Prostatic Neoplasms (pathology), Prostatic Neoplasms (surgery), Retrospective Studies.
- MESH :
- adverse effects : Lymph Node Excision.
- etiology : Intraoperative Complications.
- methods : Lymph Node Excision.
- pathology : Prostatic Neoplasms.
- secondary : Adenocarcinoma.
- surgery : Adenocarcinoma, Prostatic Neoplasms.
- Follow-Up Studies, Humans, Laparoscopy, Lymphatic Metastasis, Male, Pelvis, Retrospective Studies.
Abstract
Intraoperative and postoperative complications were assessed in the first 372 patients undergoing laparoscopic pelvic lymph node dissection at 8 medical centers. In 16 patients laparoscopic node dissection could not be completed due to patient body habitus or technical difficulties. Of these aborted procedures 14 occurred during the initial 8 dissections at each institution. A total of 55 complications (15%) occurred: 14 were noted in the intraoperative and 41 in the postoperative period. Of these patients 13 required open surgical intervention for the treatment of a complication. Complications included vascular injury (11 patients), viscus injury (8), genitourinary problems (10), functional/mechanical bowel obstruction (7), lower extremity deep venous thrombosis (5), infection/wound problem (5), lymphedema (5), anesthetic complications (2) and obturator nerve palsy (2). Based on our experience, there is a significant learning curve associated with performing laparoscopic pelvic node dissection. However, with experience and adherence to laparoscopic surgical principles, the risk of complications may be minimized.
PubMed: 8426411
Affiliations:
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In 16 patients laparoscopic node dissection could not be completed due to patient body habitus or technical difficulties. Of these aborted procedures 14 occurred during the initial 8 dissections at each institution. A total of 55 complications (15%) occurred: 14 were noted in the intraoperative and 41 in the postoperative period. Of these patients 13 required open surgical intervention for the treatment of a complication. Complications included vascular injury (11 patients), viscus injury (8), genitourinary problems (10), functional/mechanical bowel obstruction (7), lower extremity deep venous thrombosis (5), infection/wound problem (5), lymphedema (5), anesthetic complications (2) and obturator nerve palsy (2). Based on our experience, there is a significant learning curve associated with performing laparoscopic pelvic node dissection. However, with experience and adherence to laparoscopic surgical principles, the risk of complications may be minimized.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">8426411</PMID><DateCreated><Year>1993</Year><Month>03</Month><Day>01</Day></DateCreated><DateCompleted><Year>1993</Year><Month>03</Month><Day>01</Day></DateCompleted><DateRevised><Year>2017</Year><Month>09</Month><Day>08</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0022-5347</ISSN><JournalIssue CitedMedium="Print"><Volume>149</Volume><Issue>2</Issue><PubDate><Year>1993</Year><Month>Feb</Month></PubDate></JournalIssue><Title>The Journal of urology</Title><ISOAbbreviation>J. Urol.</ISOAbbreviation></Journal><ArticleTitle>Complications of laparoscopic pelvic lymph node dissection.</ArticleTitle><Pagination><MedlinePgn>322-5</MedlinePgn></Pagination><Abstract><AbstractText>Intraoperative and postoperative complications were assessed in the first 372 patients undergoing laparoscopic pelvic lymph node dissection at 8 medical centers. In 16 patients laparoscopic node dissection could not be completed due to patient body habitus or technical difficulties. Of these aborted procedures 14 occurred during the initial 8 dissections at each institution. A total of 55 complications (15%) occurred: 14 were noted in the intraoperative and 41 in the postoperative period. Of these patients 13 required open surgical intervention for the treatment of a complication. Complications included vascular injury (11 patients), viscus injury (8), genitourinary problems (10), functional/mechanical bowel obstruction (7), lower extremity deep venous thrombosis (5), infection/wound problem (5), lymphedema (5), anesthetic complications (2) and obturator nerve palsy (2). Based on our experience, there is a significant learning curve associated with performing laparoscopic pelvic node dissection. However, with experience and adherence to laparoscopic surgical principles, the risk of complications may be minimized.</AbstractText></Abstract><AuthorList CompleteYN="N"><Author ValidYN="Y"><LastName>Kavoussi</LastName><ForeName>L R</ForeName><Initials>LR</Initials><AffiliationInfo><Affiliation>Department of Urology, Harvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts 02115.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sosa</LastName><ForeName>E</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Chandhoke</LastName><ForeName>P</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Chodak</LastName><ForeName>G</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Clayman</LastName><ForeName>R V</ForeName><Initials>RV</Initials></Author><Author ValidYN="Y"><LastName>Hadley</LastName><ForeName>H R</ForeName><Initials>HR</Initials></Author><Author ValidYN="Y"><LastName>Loughlin</LastName><ForeName>K R</ForeName><Initials>KR</Initials></Author><Author ValidYN="Y"><LastName>Ruckle</LastName><ForeName>H C</ForeName><Initials>HC</Initials></Author><Author ValidYN="Y"><LastName>Rukstalis</LastName><ForeName>D</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Schuessler</LastName><ForeName>W</ForeName><Initials>W</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Urol</MedlineTA><NlmUniqueID>0376374</NlmUniqueID><ISSNLinking>0022-5347</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000230" MajorTopicYN="N">Adenocarcinoma</DescriptorName><QualifierName UI="Q000556" MajorTopicYN="N">secondary</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007431" MajorTopicYN="N">Intraoperative Complications</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010535" MajorTopicYN="Y">Laparoscopy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008207" MajorTopicYN="N">Lymphatic Metastasis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010388" MajorTopicYN="N">Pelvis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011471" MajorTopicYN="N">Prostatic Neoplasms</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1993</Year><Month>2</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1993</Year><Month>2</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1993</Year><Month>2</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">8426411</ArticleId><ArticleId IdType="pii">S0022-5347(17)36069-X</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Massachusetts</li></region></list><tree><noCountry><name sortKey="Chandhoke, P" sort="Chandhoke, P" uniqKey="Chandhoke P" first="P" last="Chandhoke">P. Chandhoke</name><name sortKey="Chodak, G" sort="Chodak, G" uniqKey="Chodak G" first="G" last="Chodak">G. Chodak</name><name sortKey="Clayman, R V" sort="Clayman, R V" uniqKey="Clayman R" first="R V" last="Clayman">R V Clayman</name><name sortKey="Hadley, H R" sort="Hadley, H R" uniqKey="Hadley H" first="H R" last="Hadley">H R Hadley</name><name sortKey="Loughlin, K R" sort="Loughlin, K R" uniqKey="Loughlin K" first="K R" last="Loughlin">K R Loughlin</name><name sortKey="Ruckle, H C" sort="Ruckle, H C" uniqKey="Ruckle H" first="H C" last="Ruckle">H C Ruckle</name><name sortKey="Rukstalis, D" sort="Rukstalis, D" uniqKey="Rukstalis D" first="D" last="Rukstalis">D. Rukstalis</name><name sortKey="Schuessler, W" sort="Schuessler, W" uniqKey="Schuessler W" first="W" last="Schuessler">W. Schuessler</name><name sortKey="Sosa, E" sort="Sosa, E" uniqKey="Sosa E" first="E" last="Sosa">E. Sosa</name></noCountry><country name="États-Unis"><region name="Massachusetts"><name sortKey="Kavoussi, L R" sort="Kavoussi, L R" uniqKey="Kavoussi L" first="L R" last="Kavoussi">L R Kavoussi</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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