Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 배재만 | - |
dc.date.accessioned | 2019-11-05T05:13:11Z | - |
dc.date.available | 2019-11-05T05:13:11Z | - |
dc.date.issued | 2019-04 | - |
dc.identifier.citation | JSLS-JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS, v. 23, NO 2, no. e2018.00110 | en_US |
dc.identifier.issn | 1086-8089 | - |
dc.identifier.uri | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6546154/ | - |
dc.identifier.uri | https://repository.hanyang.ac.kr/handle/20.500.11754/111840 | - |
dc.description.abstract | Background: No large-scale clinical study has been done to show the standard surgical boundary and efficacy of laparoscopic para-aortic lymphadenectomy (LPAL). Objectives: Therfore, this study aimed to evaluate the feasibility, efficacy, and standard surgical boundary of LPAL performed up to the left renal vein level in gynecological malignancies. Methods: Medical records of 333 patients were retrospectively reviewed. All cases had gynecologic malignancies and had an operation including LPAL by a single surgical team between November 2003 and May 2018. Results: Three hundred twenty-six patients underwent LPAL as part of their staging, restaging, or debulking surgery. Seven patients with isolated para-aortic lymph node recurrence underwent a repeat LPAL. The median age and body mass index were 54 years (range, 28-81 years) and 26.0 kg/m(2) (range, 20.3-37.2 kg/m(2)), respectively. The median operating time was 60 minutes (range, 24-135 minutes), and the median number of harvested para-aortic lymph nodes was 12 (range, 6-49). There were 11 cases of complications: 5 of major vessel injuries (3 inferior vena cava, 1 aorta, and 1 common iliac vein), 2 lymphocysts, 2 cases of chylous ascites, a cisterna chyli rupture, and 1 case of ureteric injury. There were 2 conversions to laparotomy: 1 left common iliac vein laceration that needed to be repaired and removal of an enlarged para-aortic lymph node completely. Conclusion: It is feasible and efficient to perform LPAL to the left renal vein level for women with gynecologic malignancies by well-trained gynecologic oncology surgeons according to our suggested standard surgical boundary. | en_US |
dc.language.iso | en | en_US |
dc.publisher | SOC LAPAROENDOSCOPIC SURGEONS | en_US |
dc.subject | Cervical Cancer | en_US |
dc.subject | Endometrial Cancer | en_US |
dc.subject | Laparoscopy | en_US |
dc.subject | Lymphadenectomy | en_US |
dc.subject | Ovarian Cancer | en_US |
dc.subject | Para-Aortic Lymphadenectomy | en_US |
dc.title | Systemic Laparoscopic Para-Aortic Lymphadenectomy to the Left Renal Vein | en_US |
dc.type | Article | en_US |
dc.relation.no | 2 | - |
dc.relation.volume | 23 | - |
dc.identifier.doi | 10.4293/JSLS.2018.00110 | - |
dc.relation.page | 1-8 | - |
dc.relation.journal | JSLS-JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS | - |
dc.contributor.googleauthor | Jung, Un Suk | - |
dc.contributor.googleauthor | Choi, Joong Sub | - |
dc.contributor.googleauthor | Bae, Jaeman | - |
dc.contributor.googleauthor | Lee, Won Moo | - |
dc.contributor.googleauthor | Eom, Jeong Min | - |
dc.relation.code | 2019042480 | - |
dc.sector.campus | S | - |
dc.sector.daehak | COLLEGE OF MEDICINE[S] | - |
dc.sector.department | DEPARTMENT OF MEDICINE | - |
dc.identifier.pid | obgybae | - |
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