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Complications of sentinel lymph node biopsy for melanoma - A systematic review of the literature.

Identifieur interne : 000708 ( PubMed/Corpus ); précédent : 000707; suivant : 000709

Complications of sentinel lymph node biopsy for melanoma - A systematic review of the literature.

Auteurs : J A Moody ; R F Ali ; A C Carbone ; S. Singh ; J T Hardwicke

Source :

RBID : pubmed:27423448

English descriptors

Abstract

The complications reported after sentinel lymph node biopsy (SLNB) for melanoma is highly variable in the worldwide literature; the overall complication rate varies between 1.8% and 29.9%. With heterogeneous reporting of morbidity data, no 'average' complication rates of this procedure have been reported. This systematic review aims to determine the complications rates associated with SLNB.

DOI: 10.1016/j.ejso.2016.06.407
PubMed: 27423448

Links to Exploration step

pubmed:27423448

Le document en format XML

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<title xml:lang="en">Complications of sentinel lymph node biopsy for melanoma - A systematic review of the literature.</title>
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<name sortKey="Moody, J A" sort="Moody, J A" uniqKey="Moody J" first="J A" last="Moody">J A Moody</name>
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<nlm:affiliation>College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.</nlm:affiliation>
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<name sortKey="Ali, R F" sort="Ali, R F" uniqKey="Ali R" first="R F" last="Ali">R F Ali</name>
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<nlm:affiliation>College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.</nlm:affiliation>
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<name sortKey="Carbone, A C" sort="Carbone, A C" uniqKey="Carbone A" first="A C" last="Carbone">A C Carbone</name>
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<nlm:affiliation>Department of Plastic Surgery, University Hospitals Birmingham NHS Foundation Trust, Mindelsohn Way, Edgbaston, Birmingham, B15 2GW, UK.</nlm:affiliation>
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<name sortKey="Singh, S" sort="Singh, S" uniqKey="Singh S" first="S" last="Singh">S. Singh</name>
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<nlm:affiliation>Department of Plastic Surgery, University Hospitals Birmingham NHS Foundation Trust, Mindelsohn Way, Edgbaston, Birmingham, B15 2GW, UK.</nlm:affiliation>
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<name sortKey="Hardwicke, J T" sort="Hardwicke, J T" uniqKey="Hardwicke J" first="J T" last="Hardwicke">J T Hardwicke</name>
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<nlm:affiliation>College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK; Department of Plastic Surgery, University Hospitals Birmingham NHS Foundation Trust, Mindelsohn Way, Edgbaston, Birmingham, B15 2GW, UK. Electronic address: j.hardwicke@bham.ac.uk.</nlm:affiliation>
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<title xml:lang="en">Complications of sentinel lymph node biopsy for melanoma - A systematic review of the literature.</title>
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<name sortKey="Ali, R F" sort="Ali, R F" uniqKey="Ali R" first="R F" last="Ali">R F Ali</name>
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<nlm:affiliation>College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.</nlm:affiliation>
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<name sortKey="Carbone, A C" sort="Carbone, A C" uniqKey="Carbone A" first="A C" last="Carbone">A C Carbone</name>
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<name sortKey="Singh, S" sort="Singh, S" uniqKey="Singh S" first="S" last="Singh">S. Singh</name>
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<name sortKey="Hardwicke, J T" sort="Hardwicke, J T" uniqKey="Hardwicke J" first="J T" last="Hardwicke">J T Hardwicke</name>
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<nlm:affiliation>College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK; Department of Plastic Surgery, University Hospitals Birmingham NHS Foundation Trust, Mindelsohn Way, Edgbaston, Birmingham, B15 2GW, UK. Electronic address: j.hardwicke@bham.ac.uk.</nlm:affiliation>
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<title level="j">European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology</title>
<idno type="eISSN">1532-2157</idno>
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<date when="2017" type="published">2017</date>
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<term>Humans</term>
<term>Melanoma (pathology)</term>
<term>Postoperative Complications</term>
<term>Risk Factors</term>
<term>Sentinel Lymph Node Biopsy</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Melanoma</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Humans</term>
<term>Postoperative Complications</term>
<term>Risk Factors</term>
<term>Sentinel Lymph Node Biopsy</term>
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<div type="abstract" xml:lang="en">The complications reported after sentinel lymph node biopsy (SLNB) for melanoma is highly variable in the worldwide literature; the overall complication rate varies between 1.8% and 29.9%. With heterogeneous reporting of morbidity data, no 'average' complication rates of this procedure have been reported. This systematic review aims to determine the complications rates associated with SLNB.</div>
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<Month>07</Month>
<Day>17</Day>
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<Year>2017</Year>
<Month>04</Month>
<Day>12</Day>
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<Year>2017</Year>
<Month>08</Month>
<Day>17</Day>
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<Volume>43</Volume>
<Issue>2</Issue>
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<Month>Feb</Month>
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<Title>European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology</Title>
<ISOAbbreviation>Eur J Surg Oncol</ISOAbbreviation>
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<ArticleTitle>Complications of sentinel lymph node biopsy for melanoma - A systematic review of the literature.</ArticleTitle>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The complications reported after sentinel lymph node biopsy (SLNB) for melanoma is highly variable in the worldwide literature; the overall complication rate varies between 1.8% and 29.9%. With heterogeneous reporting of morbidity data, no 'average' complication rates of this procedure have been reported. This systematic review aims to determine the complications rates associated with SLNB.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A systematic review of English-language literature from 2000 to 2015, which reported morbidity information about SLNB for melanoma, was performed. The methodological quality of the included studies was performed using the methodological index for non-randomised studies (MINORS) instrument and Detsky score. Pooled proportions of specific post-operative complications were constructed using a random effects statistical model, and subgroups including lymph node basin and continent of origin of the study were compared.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">After application of inclusion and exclusion criteria, 21 articles progressed to the final analysis. 9047 patients were included. The overall complication rate was 11.3% (95% CI: 8.1-15.0). The incidence of infection was 2.9% (95% CI 1.5-4.6); seroma 5.1% (95% CI: 2.5-8.6); haematoma 0.5% (95% CI: 0.3-0.9) lymphoedema 1.3% (95% CI: 0.5-2.6) and nerve injury 0.3% (95% CI: 0.1-0.6). There was no statistically significant difference in morbidity between the sites of SLNB or between continents.</AbstractText>
<AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">This study provides information about the incidence of complications after SLNB. It can be used to counsel patients about the procedure and it sets a benchmark against which surgeons can audit their practice.</AbstractText>
<CopyrightInformation>Crown Copyright © 2016. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation>
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<Keyword MajorTopicYN="N">Complications</Keyword>
<Keyword MajorTopicYN="N">Haematoma</Keyword>
<Keyword MajorTopicYN="N">Infection</Keyword>
<Keyword MajorTopicYN="N">Lymph node</Keyword>
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<Keyword MajorTopicYN="N">Melanoma</Keyword>
<Keyword MajorTopicYN="N">Sentinel</Keyword>
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