Journal of minimally invasive gynecology · 2011
Laparoscopic lymphadenectomy for isolated lymph node recurrence in gynecologic malignancies.
Оценочное исследованиеСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Hong Jin Hwa, Choi Joong Sub, Lee Jung Hun, Bae Jong Woon, Eom Jeong Min, Kim Jung Tae, Oh Sukjoong
Аннотация
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.
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.