Minimally invasive salvage lymphadenectomy in gynecological cancer patients: A single institution series

European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
Valerio GallottaGabriella Ferrandina

Abstract

to assess the feasibility of minimally invasive surgery in the management of lymph-nodal recurrences of gynecological cancers, in terms of surgical and oncological outcomes. we retrospectively collected patients with isolated lymph-nodal recurrent disease of gynecological malignancies who underwent to minimally invasive lymphadenectomy at Catholic University of the Sacred Hearth in Rome (Italy), from January 2013 to November 2017. Forty patients were considered eligible (31 LPS, 9 Robot); 24 (60.0%) with an ovarian cancer, 8 (20.0%) with a cervical cancer and 8 (20.0%) with an endometrial cancer recurrence. The most frequent site of lymph-nodal recurrence was represented by the aortic region (47.5%), while 18 patients (45.0%) experiencing pelvic lymph-nodal recurrence, 2 (5.0%) both pelvic and aortic relapse, and only 1 (2.5%) had an hepato-celiac lymph node recurrence. No patient required a laparotomic conversion. Median operative time was 220 min, median EBL was 80 mL, and median post-operative hospital stay was 2 days. There were 2 (5.0%) intra-operative and 4 (10.0%) post-operative complications, of which 2 were grade 3. The median follow-up was 22.5 months, and during this time 15 patients showed another relapse with a med...Continue Reading

Citations

Aug 21, 2020·The Journal of Obstetrics and Gynaecology Research·Eri KawaiCharlotte Ngô
Dec 30, 2020·BMJ Case Reports·Marina Sousa GomesPaula Serrano
Dec 4, 2020·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·A KakkosF Goffin
Feb 23, 2020·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·V GallottaG Ferrandina
Nov 14, 2020·Journal of Gynecologic Oncology·Antoni LluecaUNKNOWN Spain-Gynecologic Oncology Group (GOG) Working Group
May 12, 2021·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·Vito Andrea CapozziVito Chiantera
Aug 4, 2021·Interactive Cardiovascular and Thoracic Surgery·Marco ChiappettaStefano Margaritora

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