Extraperitoneal para-aortic lymph node evaluation for cervical cancer via pfannenstiel incision: technique and peri-operative outcomes

Gynecologic Oncology
Kathleen N MooreKristin K Zorn

Abstract

To examine surgico-pathologic outcomes following extraperitoneal para-aortic lymph node dissection (EPLND) via pfannenstiel compared to paramedian incision prior to radiation in patients with cervical cancer. At our institution, patients with locally advanced cervical cancer undergo, EPLND. From 1990 to 2000, EPLND was performed via paramedian incision (PM) primarily to identify positive para-aortic lymph nodes (PALN). From 2000 to present, a complete pelvic and para-aortic lymphadenectomy was performed via pfannenstiel incision (PF). Records for all patients undergoing EPLND were reviewed. Pathologic findings, post-operative complications, and time to initiation of radiation (TRT) were abstracted. 93 patients underwent EPLND, 48 via PF and 45 via PM incision. The mean age and body mass index did not differ between the two groups. Stage distribution was similar: IB2 8 vs. 0%; IIB 44 vs. 44%; IIIA/B 35 vs. 44%; IVA 13 vs. 11%, respectively. Positive PALN were identified in 44% of PF patients and 29% of PM patients (p=ns). TRT was not significantly different at 36.4 vs. 28.8 days, respectively. There were more complications among the PF group including cellulitis and lymphocyst formation. Pre-treatment computed tomography (CT) sc...Continue Reading

References

Jan 1, 1992·International Journal of Radiation Oncology, Biology, Physics·A P VigliottiB Anderson
Feb 1, 1986·International Journal of Radiation Oncology, Biology, Physics·C J JollesD V Horbelt
Feb 15, 1995·International Journal of Radiation Oncology, Biology, Physics·B A FineD Driscoll
Oct 7, 1997·JAMA : the Journal of the American Medical Association·J ScheidlerM R Segal
Sep 10, 1999·Gynecologic Oncology·B A GoffB E Greer
Jul 1, 1995·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·N.F. HackerJ.L. Nicklin
Jul 13, 2006·Expert Review of Anticancer Therapy·Rakesh KumarSimin Dadparvar
Jan 24, 2007·CA: a Cancer Journal for Clinicians·Ahmedin JemalMichael J Thun

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Citations

Apr 11, 2012·Acta Obstetricia Et Gynecologica Scandinavica·Donglin LiZehua Wang
Jun 6, 2015·Best Practice & Research. Clinical Obstetrics & Gynaecology·S P Somashekhar
Feb 7, 2017·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Clothilde PetitnicolasEric Leblanc

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