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Lymphoceles, lymphorrhea, and lymphedema after laparoscopic and open endometrial cancer staging.

Identifieur interne : 002567 ( PubMed/Corpus ); précédent : 002566; suivant : 002568

Lymphoceles, lymphorrhea, and lymphedema after laparoscopic and open endometrial cancer staging.

Auteurs : Fabio Ghezzi ; Stefano Uccella ; Antonella Cromi ; Giorgio Bogani ; Claudio Robba ; Maurizio Serati ; Pierfrancesco Bolis

Source :

RBID : pubmed:21695563

English descriptors

Abstract

To evaluate the incidence of lymphoceles, lymphorrhea, and lymphedema after systematic pelvic lymphadenectomy in patients who underwent laparoscopic or open abdominal staging for endometrial cancer.

DOI: 10.1245/s10434-011-1854-5
PubMed: 21695563

Links to Exploration step

pubmed:21695563

Le document en format XML

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<titleStmt>
<title xml:lang="en">Lymphoceles, lymphorrhea, and lymphedema after laparoscopic and open endometrial cancer staging.</title>
<author>
<name sortKey="Ghezzi, Fabio" sort="Ghezzi, Fabio" uniqKey="Ghezzi F" first="Fabio" last="Ghezzi">Fabio Ghezzi</name>
<affiliation>
<nlm:affiliation>Department of Obstetrics and Gynecology, University of Insubria, Del Ponte Hospital, Varese, Italy. Fabio.ghezzi@uninsubria.it</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Uccella, Stefano" sort="Uccella, Stefano" uniqKey="Uccella S" first="Stefano" last="Uccella">Stefano Uccella</name>
</author>
<author>
<name sortKey="Cromi, Antonella" sort="Cromi, Antonella" uniqKey="Cromi A" first="Antonella" last="Cromi">Antonella Cromi</name>
</author>
<author>
<name sortKey="Bogani, Giorgio" sort="Bogani, Giorgio" uniqKey="Bogani G" first="Giorgio" last="Bogani">Giorgio Bogani</name>
</author>
<author>
<name sortKey="Robba, Claudio" sort="Robba, Claudio" uniqKey="Robba C" first="Claudio" last="Robba">Claudio Robba</name>
</author>
<author>
<name sortKey="Serati, Maurizio" sort="Serati, Maurizio" uniqKey="Serati M" first="Maurizio" last="Serati">Maurizio Serati</name>
</author>
<author>
<name sortKey="Bolis, Pierfrancesco" sort="Bolis, Pierfrancesco" uniqKey="Bolis P" first="Pierfrancesco" last="Bolis">Pierfrancesco Bolis</name>
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<title xml:lang="en">Lymphoceles, lymphorrhea, and lymphedema after laparoscopic and open endometrial cancer staging.</title>
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<name sortKey="Ghezzi, Fabio" sort="Ghezzi, Fabio" uniqKey="Ghezzi F" first="Fabio" last="Ghezzi">Fabio Ghezzi</name>
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<nlm:affiliation>Department of Obstetrics and Gynecology, University of Insubria, Del Ponte Hospital, Varese, Italy. Fabio.ghezzi@uninsubria.it</nlm:affiliation>
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<author>
<name sortKey="Uccella, Stefano" sort="Uccella, Stefano" uniqKey="Uccella S" first="Stefano" last="Uccella">Stefano Uccella</name>
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<author>
<name sortKey="Cromi, Antonella" sort="Cromi, Antonella" uniqKey="Cromi A" first="Antonella" last="Cromi">Antonella Cromi</name>
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<author>
<name sortKey="Bogani, Giorgio" sort="Bogani, Giorgio" uniqKey="Bogani G" first="Giorgio" last="Bogani">Giorgio Bogani</name>
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<author>
<name sortKey="Robba, Claudio" sort="Robba, Claudio" uniqKey="Robba C" first="Claudio" last="Robba">Claudio Robba</name>
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<name sortKey="Serati, Maurizio" sort="Serati, Maurizio" uniqKey="Serati M" first="Maurizio" last="Serati">Maurizio Serati</name>
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<name sortKey="Bolis, Pierfrancesco" sort="Bolis, Pierfrancesco" uniqKey="Bolis P" first="Pierfrancesco" last="Bolis">Pierfrancesco Bolis</name>
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<series>
<title level="j">Annals of surgical oncology</title>
<idno type="eISSN">1534-4681</idno>
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<date when="2012" type="published">2012</date>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Case-Control Studies</term>
<term>Endometrial Neoplasms (complications)</term>
<term>Endometrial Neoplasms (pathology)</term>
<term>Endometrial Neoplasms (surgery)</term>
<term>Female</term>
<term>Humans</term>
<term>Hysterectomy</term>
<term>Incidence</term>
<term>Laparoscopy</term>
<term>Lymph Node Excision</term>
<term>Lymphatic Diseases (epidemiology)</term>
<term>Lymphatic Diseases (etiology)</term>
<term>Lymphatic Diseases (pathology)</term>
<term>Lymphedema (epidemiology)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (pathology)</term>
<term>Lymphocele (epidemiology)</term>
<term>Lymphocele (etiology)</term>
<term>Lymphocele (pathology)</term>
<term>Middle Aged</term>
<term>Neoplasm Staging</term>
<term>Postoperative Complications</term>
<term>Prognosis</term>
<term>Survival Rate</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Endometrial Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Lymphatic Diseases</term>
<term>Lymphedema</term>
<term>Lymphocele</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Lymphatic Diseases</term>
<term>Lymphedema</term>
<term>Lymphocele</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Endometrial Neoplasms</term>
<term>Lymphatic Diseases</term>
<term>Lymphedema</term>
<term>Lymphocele</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Endometrial Neoplasms</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Case-Control Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Hysterectomy</term>
<term>Incidence</term>
<term>Laparoscopy</term>
<term>Lymph Node Excision</term>
<term>Middle Aged</term>
<term>Neoplasm Staging</term>
<term>Postoperative Complications</term>
<term>Prognosis</term>
<term>Survival Rate</term>
</keywords>
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<front>
<div type="abstract" xml:lang="en">To evaluate the incidence of lymphoceles, lymphorrhea, and lymphedema after systematic pelvic lymphadenectomy in patients who underwent laparoscopic or open abdominal staging for endometrial cancer.</div>
</front>
</TEI>
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<PMID Version="1">21695563</PMID>
<DateCreated>
<Year>2012</Year>
<Month>01</Month>
<Day>05</Day>
</DateCreated>
<DateCompleted>
<Year>2012</Year>
<Month>05</Month>
<Day>17</Day>
</DateCompleted>
<DateRevised>
<Year>2012</Year>
<Month>01</Month>
<Day>05</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1534-4681</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>19</Volume>
<Issue>1</Issue>
<PubDate>
<Year>2012</Year>
<Month>Jan</Month>
</PubDate>
</JournalIssue>
<Title>Annals of surgical oncology</Title>
<ISOAbbreviation>Ann. Surg. Oncol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Lymphoceles, lymphorrhea, and lymphedema after laparoscopic and open endometrial cancer staging.</ArticleTitle>
<Pagination>
<MedlinePgn>259-67</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1245/s10434-011-1854-5</ELocationID>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To evaluate the incidence of lymphoceles, lymphorrhea, and lymphedema after systematic pelvic lymphadenectomy in patients who underwent laparoscopic or open abdominal staging for endometrial cancer.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A total of 138 consecutive women who underwent systematic laparoscopic pelvic lymphadenectomy for endometrial cancer staging were compared to 123 historical control subjects staged via an open approach. Postoperative screening for lymphadenectomy-related complications by ultrasound was consistently performed.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The incidence of perioperative complications was lower in cases than in control subjects. Overall, lymphoceles were diagnosed in 19 (15.4%) and 2 (1.4%) patients who had open and laparoscopic staging, respectively (odds ratio 12.42; 95% confidence interval 2.82-54.55; P < 0.0001). Symptomatic lymphoceles were more frequent after open staging than after laparoscopy (P = 0.028). Lymphorrhea occurred in 1 and 4 patients after laparoscopic and open surgery (P = 0.19). No difference in the incidence of lymphedema was observed.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Our findings suggest that laparoscopic endometrial cancer staging is associated with a lower occurrence of both asymptomatic and symptomatic lymphoceles compared to open surgery.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Ghezzi</LastName>
<ForeName>Fabio</ForeName>
<Initials>F</Initials>
<AffiliationInfo>
<Affiliation>Department of Obstetrics and Gynecology, University of Insubria, Del Ponte Hospital, Varese, Italy. Fabio.ghezzi@uninsubria.it</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Uccella</LastName>
<ForeName>Stefano</ForeName>
<Initials>S</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Cromi</LastName>
<ForeName>Antonella</ForeName>
<Initials>A</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Bogani</LastName>
<ForeName>Giorgio</ForeName>
<Initials>G</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Robba</LastName>
<ForeName>Claudio</ForeName>
<Initials>C</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Serati</LastName>
<ForeName>Maurizio</ForeName>
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<LastName>Bolis</LastName>
<ForeName>Pierfrancesco</ForeName>
<Initials>P</Initials>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList>
<PublicationType UI="D003160">Comparative Study</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
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<ArticleDate DateType="Electronic">
<Year>2011</Year>
<Month>06</Month>
<Day>22</Day>
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<Country>United States</Country>
<MedlineTA>Ann Surg Oncol</MedlineTA>
<NlmUniqueID>9420840</NlmUniqueID>
<ISSNLinking>1068-9265</ISSNLinking>
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<DescriptorName UI="D015994" MajorTopicYN="N">Incidence</DescriptorName>
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<DescriptorName UI="D010535" MajorTopicYN="Y">Laparoscopy</DescriptorName>
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<DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D008206" MajorTopicYN="N">Lymphatic Diseases</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008210" MajorTopicYN="N">Lymphocele</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D009367" MajorTopicYN="N">Neoplasm Staging</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011183" MajorTopicYN="Y">Postoperative Complications</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011379" MajorTopicYN="N">Prognosis</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D015996" MajorTopicYN="N">Survival Rate</DescriptorName>
</MeshHeading>
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