■淋巴结清扫术在妇科癌症分期方案中起着至关重要的作用,根据国际妇产科联合会(FIGO)的建议。虽然它的好处各不相同,术中可能出现并发症,急性术后,或长期。值得注意的是,已经报道了淋巴结清扫术相关的全身发病率和特定的并发症,如淋巴囊肿和淋巴水肿。
■这项回顾性研究涉及399例宫颈癌患者,子宫内膜,和接受盆腔和主动脉旁淋巴结清扫术的卵巢癌。随访时间至少为3个月。术中并发症包括邻近器官损伤和大量失血,而急性术后并发症发生在29天内。30天后并发症包括淋巴囊肿和淋巴水肿。Logistic回归分析确定了并发症的预测因素。
■总并发症发生率为42.4%,术中,急性术后,长期利率为26.1%,11.0%,和14.0%,分别。总体并发症的预测因素包括剖腹手术,阳性淋巴结,手术时间>240分钟。对于术中并发症,年龄>60岁,剖腹手术,阳性淋巴结,手术时间>240分钟是显著的预测因素。6.0%和2.0%的患者出现症状性淋巴囊肿和淋巴水肿,分别,主要是长期。
尽管妇科手术后的总并发症发生率几乎占所有病例的一半,严重并发症发生率低。此外,有症状的淋巴囊肿和淋巴水肿的发生率较低.妇科癌症手术中的淋巴结切除术可以安全地进行。
UNASSIGNED: Lymphadenectomy plays an essential role in the staging protocols for gynecologic cancers, as recommended by International Federation of Gynecology and Obstetrics (FIGO). While its benefits vary, complications may arise during intra-operative, acute post-operative, or long-term periods. Notably, lymphadenectomy-associated systemic morbidity and specific complications such as lymphocele and lymphedema have been reported.
UNASSIGNED: This retrospective study involved 399 patients with cervical, endometrial, and ovarian cancers who underwent pelvic and para-aortic lymphadenectomy. The follow-up period was at least 3 months. Intra-operative complications encompassed adjacent organ injury and significant blood loss, while acute post-operative complications occurred within 29 days. Post-30-day complications included lymphocele and lymphedema. Logistic regression analysis identified predictors for complications.
UNASSIGNED: The overall complication rate was 42.4%, with intra-operative, acute post-operative, and long-term rates of 26.1%, 11.0%, and 14.0%, respectively. Predictors for overall complications included laparotomy, positive lymph nodes, and operative time > 240 min. For intra-operative complications, age > 60 years, laparotomy, positive lymph nodes, and operative time > 240 min were significant predictors. Symptomatic lymphocele and lymphedema occurred in 6.0% and 2.0% of patients, respectively, mainly in the long-term period.
UNASSIGNED: Although the overall complication rate after gynecologic surgery was found to be almost half of all cases, the rate of severe complications was low. Additionally, the rates of symptomatic lymphocele and lymphedema were low. Lymphadenectomy in gynecologic cancer surgery can be performed safely.