Complications of laparoscopic pelvic lymph node dissection.
Identifieur interne : 005784 ( PubMed/Corpus ); précédent : 005783; suivant : 005785Complications of laparoscopic pelvic lymph node dissection.
Auteurs : L R Kavoussi ; 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.
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
Links to Exploration step
pubmed:8426411Le document en format XML
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<author><name sortKey="Sosa, E" sort="Sosa, E" uniqKey="Sosa E" first="E" last="Sosa">E. Sosa</name>
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<author><name sortKey="Chandhoke, P" sort="Chandhoke, P" uniqKey="Chandhoke P" first="P" last="Chandhoke">P. Chandhoke</name>
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<author><name sortKey="Clayman, R V" sort="Clayman, R V" uniqKey="Clayman R" first="R V" last="Clayman">R V Clayman</name>
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<author><name sortKey="Hadley, H R" sort="Hadley, H R" uniqKey="Hadley H" first="H R" last="Hadley">H R Hadley</name>
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<author><name sortKey="Loughlin, K R" sort="Loughlin, K R" uniqKey="Loughlin K" first="K R" last="Loughlin">K R Loughlin</name>
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<author><name sortKey="Ruckle, H C" sort="Ruckle, H C" uniqKey="Ruckle H" first="H C" last="Ruckle">H C Ruckle</name>
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<term>Humans</term>
<term>Intraoperative Complications (etiology)</term>
<term>Laparoscopy</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymph Node Excision (methods)</term>
<term>Lymphatic Metastasis</term>
<term>Male</term>
<term>Pelvis</term>
<term>Prostatic Neoplasms (pathology)</term>
<term>Prostatic Neoplasms (surgery)</term>
<term>Retrospective Studies</term>
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<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Intraoperative Complications</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lymph Node Excision</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Prostatic Neoplasms</term>
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<keywords scheme="MESH" qualifier="secondary" xml:lang="en"><term>Adenocarcinoma</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Adenocarcinoma</term>
<term>Prostatic Neoplasms</term>
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<keywords scheme="MESH" xml:lang="en"><term>Follow-Up Studies</term>
<term>Humans</term>
<term>Laparoscopy</term>
<term>Lymphatic Metastasis</term>
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<front><div type="abstract" xml:lang="en">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.</div>
</front>
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<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>
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