Complications of lymphadenectomy for gynecologic cancer.
Identifieur interne : 001E83 ( PubMed/Curation ); précédent : 001E82; suivant : 001E84Complications of lymphadenectomy for gynecologic cancer.
Auteurs : A. Achouri [France] ; C. Huchon ; A S Bats ; C. Bensaid ; C. Nos ; F. LécuruSource :
- European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology [ 1532-2157 ] ; 2013.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Analyse de variance, Analyse multivariée, Facteurs de risque, Femelle, France (épidémiologie), Humains, Incidence, Lymphadénectomie (effets indésirables), Lymphocèle (épidémiologie), Lymphocèle (étiologie), Lymphoedème (épidémiologie), Lymphoedème (étiologie), Membre inférieur (anatomopathologie), Modèles logistiques, Noeuds lymphatiques (), Noeuds lymphatiques (anatomopathologie), Odds ratio, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs de l'appareil génital féminin (), Tumeurs de l'appareil génital féminin (anatomopathologie), Tumeurs de l'endomètre (), Tumeurs de l'ovaire (), Tumeurs du col de l'utérus (), Études rétrospectives.
- MESH :
- anatomopathologie : Membre inférieur, Noeuds lymphatiques, Tumeurs de l'appareil génital féminin.
- effets indésirables : Lymphadénectomie.
- épidémiologie : France, Lymphocèle, Lymphoedème.
- étiologie : Lymphocèle, Lymphoedème.
- Adolescent, Adulte, Adulte d'âge moyen, Analyse de variance, Analyse multivariée, Facteurs de risque, Femelle, Humains, Incidence, Modèles logistiques, Noeuds lymphatiques, Odds ratio, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs de l'appareil génital féminin, Tumeurs de l'endomètre, Tumeurs de l'ovaire, Tumeurs du col de l'utérus, Études rétrospectives.
- Wicri :
- geographic : France.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Analysis of Variance, Endometrial Neoplasms (surgery), Female, France (epidemiology), Genital Neoplasms, Female (pathology), Genital Neoplasms, Female (surgery), Humans, Incidence, Logistic Models, Lower Extremity (pathology), Lymph Node Excision (adverse effects), Lymph Nodes (pathology), Lymph Nodes (surgery), Lymphedema (epidemiology), Lymphedema (etiology), Lymphocele (epidemiology), Lymphocele (etiology), Middle Aged, Multivariate Analysis, Odds Ratio, Ovarian Neoplasms (surgery), Retrospective Studies, Risk Factors, Uterine Cervical Neoplasms (surgery).
- MESH :
- geographic , epidemiology : France.
- adverse effects : Lymph Node Excision.
- epidemiology : Lymphedema, Lymphocele.
- etiology : Lymphedema, Lymphocele.
- pathology : Genital Neoplasms, Female, Lower Extremity, Lymph Nodes.
- surgery : Endometrial Neoplasms, Genital Neoplasms, Female, Lymph Nodes, Ovarian Neoplasms, Uterine Cervical Neoplasms.
- Adolescent, Adult, Aged, Aged, 80 and over, Analysis of Variance, Female, Humans, Incidence, Logistic Models, Middle Aged, Multivariate Analysis, Odds Ratio, Retrospective Studies, Risk Factors.
Abstract
Symptomatic postoperative lymphocysts (SPOLs) and lower-limb lymphedema (LLL) are probably underestimated complications of lymphadenectomy for gynecologic malignancies. Here, our objective was to evaluate the incidence and risk factors of SPOLs and LLL after pelvic and/or aortocaval lymphadenectomy for gynecologic malignancies.
DOI: 10.1016/j.ejso.2012.10.011
PubMed: 23117018
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Achouri</name><affiliation wicri:level="1"><nlm:affiliation>Service de Chirurgie Cancérologique Gynécologique et du Sein, Hôpital Européen Georges Pompidou, AP-HP, Paris, France. abdellaziz.achouri@egp.aphp.fr</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de Chirurgie Cancérologique Gynécologique et du Sein, Hôpital Européen Georges Pompidou, AP-HP, Paris</wicri:regionArea></affiliation></author><author><name sortKey="Huchon, C" sort="Huchon, C" uniqKey="Huchon C" first="C" last="Huchon">C. Huchon</name></author><author><name sortKey="Bats, A S" sort="Bats, A S" uniqKey="Bats A" first="A S" last="Bats">A S Bats</name></author><author><name sortKey="Bensaid, C" sort="Bensaid, C" uniqKey="Bensaid C" first="C" last="Bensaid">C. Bensaid</name></author><author><name sortKey="Nos, C" sort="Nos, C" uniqKey="Nos C" first="C" last="Nos">C. Nos</name></author><author><name sortKey="Lecuru, F" sort="Lecuru, F" uniqKey="Lecuru F" first="F" last="Lécuru">F. 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(epidemiology)</term><term>Lymphedema (etiology)</term><term>Lymphocele (epidemiology)</term><term>Lymphocele (etiology)</term><term>Middle Aged</term><term>Multivariate Analysis</term><term>Odds Ratio</term><term>Ovarian Neoplasms (surgery)</term><term>Retrospective Studies</term><term>Risk Factors</term><term>Uterine Cervical Neoplasms (surgery)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse de variance</term><term>Analyse multivariée</term><term>Facteurs de risque</term><term>Femelle</term><term>France (épidémiologie)</term><term>Humains</term><term>Incidence</term><term>Lymphadénectomie (effets indésirables)</term><term>Lymphocèle (épidémiologie)</term><term>Lymphocèle (étiologie)</term><term>Lymphoedème (épidémiologie)</term><term>Lymphoedème (étiologie)</term><term>Membre inférieur (anatomopathologie)</term><term>Modèles logistiques</term><term>Noeuds lymphatiques ()</term><term>Noeuds lymphatiques (anatomopathologie)</term><term>Odds ratio</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs de l'appareil génital féminin ()</term><term>Tumeurs de l'appareil génital féminin (anatomopathologie)</term><term>Tumeurs de l'endomètre ()</term><term>Tumeurs de l'ovaire ()</term><term>Tumeurs du col de l'utérus ()</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>France</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Membre inférieur</term><term>Noeuds lymphatiques</term><term>Tumeurs de l'appareil génital féminin</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Lymphadénectomie</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Lymphedema</term><term>Lymphocele</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term><term>Lymphocele</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Genital Neoplasms, Female</term><term>Lower Extremity</term><term>Lymph Nodes</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Endometrial Neoplasms</term><term>Genital Neoplasms, Female</term><term>Lymph Nodes</term><term>Ovarian Neoplasms</term><term>Uterine Cervical Neoplasms</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>France</term><term>Lymphocèle</term><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphocèle</term><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Analysis of 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xml:lang="fr"><term>France</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Symptomatic postoperative lymphocysts (SPOLs) and lower-limb lymphedema (LLL) are probably underestimated complications of lymphadenectomy for gynecologic malignancies. Here, our objective was to evaluate the incidence and risk factors of SPOLs and LLL after pelvic and/or aortocaval lymphadenectomy for gynecologic malignancies.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23117018</PMID><DateCreated><Year>2012</Year><Month>12</Month><Day>11</Day></DateCreated><DateCompleted><Year>2013</Year><Month>02</Month><Day>04</Day></DateCompleted><DateRevised><Year>2012</Year><Month>12</Month><Day>11</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-2157</ISSN><JournalIssue CitedMedium="Internet"><Volume>39</Volume><Issue>1</Issue><PubDate><Year>2013</Year><Month>Jan</Month></PubDate></JournalIssue><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></Journal><ArticleTitle>Complications of lymphadenectomy for gynecologic cancer.</ArticleTitle><Pagination><MedlinePgn>81-6</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ejso.2012.10.011</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0748-7983(12)01278-4</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Symptomatic postoperative lymphocysts (SPOLs) and lower-limb lymphedema (LLL) are probably underestimated complications of lymphadenectomy for gynecologic malignancies. Here, our objective was to evaluate the incidence and risk factors of SPOLs and LLL after pelvic and/or aortocaval lymphadenectomy for gynecologic malignancies.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Single-center retrospective study of consecutive patients who underwent pelvic and/or aortocaval lymphadenectomy for ovarian cancer, endometrial cancer, or cervical cancer between January 2007 and November 2008. The incidences of SPOL and LLL were computed with their 95% confidence intervals (95%CIs). Multivariate logistic regression was performed to identify independent risk factors for SPOL and LLL.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">We identified 88 patients including 36 with ovarian cancer, 35 with endometrial cancer, and 17 with cervical cancer. The overall incidence of SPOL was 34.5% (95%CI, 25-45) and that of LLL was 11.4% (95% confidence interval [95%CI], 5-18). Endometrial cancer was independently associated with a lower risk of SPOL (adjusted odds ratio [aOR], 0.09; 95%CI, 0.02-0.44) and one or more positive pelvic nodes with a higher risk of SPOL (aOR, 4.4; 95%CI, 1.2-16.3). Multivariate logistic regression failed to identify factors significantly associated with LLL.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Complications of lymphadenectomy for gynecologic malignancies are common. This finding supports a more restrictive use of lymphadenectomy or the use of less invasive techniques such as sentinel node biopsy.</AbstractText><CopyrightInformation>Copyright © 2012 Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Achouri</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Service de Chirurgie Cancérologique Gynécologique et du Sein, Hôpital Européen Georges Pompidou, AP-HP, Paris, France. abdellaziz.achouri@egp.aphp.fr</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Huchon</LastName><ForeName>C</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Bats</LastName><ForeName>A S</ForeName><Initials>AS</Initials></Author><Author ValidYN="Y"><LastName>Bensaid</LastName><ForeName>C</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Nos</LastName><ForeName>C</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Lécuru</LastName><ForeName>F</ForeName><Initials>F</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2012</Year><Month>10</Month><Day>30</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Eur J Surg Oncol</MedlineTA><NlmUniqueID>8504356</NlmUniqueID><ISSNLinking>0748-7983</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000704" MajorTopicYN="N">Analysis of Variance</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016889" MajorTopicYN="N">Endometrial Neoplasms</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005833" MajorTopicYN="N">Genital Neoplasms, Female</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015994" MajorTopicYN="N">Incidence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016015" MajorTopicYN="N">Logistic Models</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D035002" MajorTopicYN="N">Lower Extremity</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008198" MajorTopicYN="N">Lymph Nodes</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008210" MajorTopicYN="N">Lymphocele</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015999" MajorTopicYN="N">Multivariate Analysis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016017" MajorTopicYN="N">Odds Ratio</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010051" MajorTopicYN="N">Ovarian Neoplasms</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002583" MajorTopicYN="N">Uterine Cervical Neoplasms</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2012</Year><Month>02</Month><Day>24</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2012</Year><Month>10</Month><Day>02</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2012</Year><Month>10</Month><Day>12</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2012</Year><Month>11</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2012</Year><Month>11</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2013</Year><Month>2</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">23117018</ArticleId><ArticleId IdType="pii">S0748-7983(12)01278-4</ArticleId><ArticleId 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