The role of pelvic lymphocele in the development of early postoperative complications

Medicine
Octavian Constantin NeagoeOctavian Mazilu

Abstract

With the increasing incidence of gynecologic malignancy, radical hysterectomy represents an important part of the adequate treatment of these patients. The pelvic lymphocele is a known side effect of pelvic and para-aortic lymphadenectomy. The aim of our study was to assess the role of the lymphocele in the development of early postoperative complications.A single-center, retrospective analysis between January 2000 and May 2017 revealed 1867 patients with cervical and endometrial cancer, treated through radical or modified radical hysterectomy and pelvic lymphadenectomy. Postoperative complications and the occurrence of pelvic lymphocele were evaluated.Approximately 47.6% of patients were diagnosed with pelvic lymphocele, with only 5.2% being symptomatic. Early postoperative complications rate recorded an incidence of 8.1%, occurring more frequent if lymphocele were present (P < .001). The pelvic lymphocele represented, in univariate analysis, a risk factor for the development of pelvic abscesses, but not for deep vein thrombosis, lymphedema, or bowel obstruction. Hydronephrosis was found to be significantly correlated with the pelvic lymphocele, but we believe this urological complication to have a different underlining mechan...Continue Reading

References

Jan 1, 1975·Acta Obstetricia Et Gynecologica Scandinavica·U Ulmsten
Dec 1, 2004·Cancer Research and Treatment : Official Journal of Korean Cancer Association·Hee Yeon KimJae Hoon Kim
Jun 23, 2011·Annals of Surgical Oncology·Fabio GhezziPierfrancesco Bolis
Nov 3, 2012·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·A AchouriF Lécuru
Feb 4, 2014·Expert Review of Anticancer Therapy·Vit WeinbergerMichal Zikan
Mar 4, 2014·Journal of the National Comprehensive Cancer Network : JNCCN·Wui-Jin KohMiranda Hughes
Oct 24, 2014·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Krishna PatelAminah Jatoi
Jan 27, 2015·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Nicoletta BigliaAchtari Chahin
Mar 1, 2015·American Journal of Physiology. Heart and Circulatory Physiology·Swapna GhantaBabak J Mehrara
Apr 15, 2015·Journal of the National Comprehensive Cancer Network : JNCCN·Wui-Jin KohJillian L Scavone
May 20, 2015·Annals of Surgical Oncology·Hyo Sook BaeSang-Yoon Park
Feb 12, 2017·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Ashley GraulEmily Ko
Mar 1, 2017·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Emma LindqvistPreben Kjølhede
Sep 21, 2017·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Abigail CohenAlun Huw Davies
Oct 6, 2017·Oncotarget·Shulan LvQiling Li
Jan 13, 2018·The Journal of International Medical Research·Octavian C NeagoeOctavian Mazilu

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