Laparoscopic lymphadenectomy for gynecologic malignancies: evaluation of the surgical approach and outcomes over a seven-year experience.
- Title
- Laparoscopic lymphadenectomy for gynecologic malignancies: evaluation of the surgical approach and outcomes over a seven-year experience.
- Author
- 배종운
- Keywords
- Cervical cancer; Laparoscopy; Lymphadenectomy; Ovarian cancer; Recurrence
- Issue Date
- 2012-03
- Publisher
- Elsevier Science INC
- Citation
- Journal of Minimally Invasive Gynecology, 2012, 19(2), P.188-195
- Abstract
- Study Objective: To assess the feasibility and efficacy of laparoscopic lymphadenectomy in patients with isolated lymph node recurrences (ILNR) who underwent initial surgery because of gynecologic malignancy. Design: Retrospective study (Canadian Task Force classification II-3). Setting: University teaching hospital. Patients: Six patients with ILNR (1 cervical, 4 ovarian, and 1 peritoneal) diagnosed between March 2003 and July 2010. Intervention: Laparoscopic lymphadenectomy. Measurements and Main Results: Median (range) patient age was 59.5 (24-70) years, and body mass index was 21.7 (21.0-24.6). There was no unplanned conversion to laparotomy. Operating time was 337.5 (200-400) minutes, hemoglobin change was 0.9 (0.4-2.6) g/dL, and hospital stay was 8.5 (5-19) days. The number of harvested lymph nodes was 20 (5-27), and of positive lymph nodes was 4 (1-24). One patient had common iliac vein laceration, with complete hemostasis achieved using intracorporeal suture. Postoperative lymphedema occurred in 1 patient, and was managed conservatively. All patients received adjuvant chemotherapy after laparoscopic lymphadenectomy. Conclusion: Laparoscopic lymphadenectomy in patients with ILNR is feasible and might be an alternative therapeutic strategy. Journal of Minimally Invasive Gynecology (2012) 19, 188-195 (C) 2012 AAGL. All rights reserved.
- URI
- http://www.jmig.org/article/S1553-4650(11)01338-0/fulltexthttps://repository.hanyang.ac.kr/handle/20.500.11754/69949
- ISSN
- 1553-4650
- DOI
- 10.1016/j.jmig.2011.10.013
- Appears in Collections:
- COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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