Laparoscopic Lymphadenectomy for Isolated Lymph Node Recurrence in Gynecologic Malignancies
- Authors
- Hong J.H.; Choi J.S.; Lee J.H.; Bae J.W.; Eom J.M.; Kim J.T.; Oh S.
- Issue Date
- 2012
- Keywords
- Cervical cancer; Laparoscopy; Lymphadenectomy; Ovarian cancer; Recurrence
- Citation
- Journal of Minimally Invasive Gynecology, v.19, no.2, pp 188 - 195
- Pages
- 8
- Indexed
- SCIE
SCOPUS
- Journal Title
- Journal of Minimally Invasive Gynecology
- Volume
- 19
- Number
- 2
- Start Page
- 188
- End Page
- 195
- URI
- https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/12776
- DOI
- 10.1016/j.jmig.2011.10.013
- ISSN
- 1553-4650
1553-4669
- 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. © 2012.
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Collections - 2. Clinical Science > Department of Obstetrics and Gynecology > 1. Journal Articles
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