Prevention of lymphocyst formation following systematic lymphadenectomy
Prevention of lymphocyst formation following systematic lymphadenectomy
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DOI：
10.1093/jjco/hyd107
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发表时间：
2000-09-01
影响因子：
2.4
通讯作者：
Fujimoto, S
中科院分区：
文献类型：
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作者：
Yamamoto, R;Saitoh, T;Fujimoto, S
背景：盆腔淋巴囊肿的发生是妇科恶性肿瘤系统性淋巴结切除术后的一个重要并发症。我们采用了一种程序，以防止阴道缩短根治性子宫切除术后，我们检查这种程序是否可以有效地防止盆腔淋巴囊肿formation.Methods：我们研究了190例患者的淋巴囊肿的发病率84宫颈癌，74子宫内膜癌和32卵巢癌，使用计算机断层扫描检查在3个月和6个月后的手术。结果：宫颈癌盆腔淋巴囊肿的发生率（4.8%）与卵巢癌（18.8%）相比，差异有统计学意义（P <0.05）。预防阴道缩短的广泛性子宫切除术后淋巴囊肿的发生（5.9%）明显低于行改良根治性子宫切除术的患者（15.2%）。我们的预防阴道缩短的方法不仅可以有效地预防阴道缩短，而且可以预防根治性手术患者盆腔淋巴囊肿的发生。子宫切除术联合系统淋巴结清扫术治疗妇科恶性肿瘤
Background: The occurrence of pelvic lymphocysts is an important complication following systematic lymphadenectomy for gynecological malignancies. We employed a procedure to prevent vaginal shortening following radical hysterectomy and we examined whether this procedure could be effective in preventing pelvic lymphocyst formation.Methods: We studied the incidence of lymphocysts in 190 patients with 84 cervical cancers, 74 endometrial cancers and 32 ovarian cancers, using computed tomographic examination at 3 and 6 months subsequent to the surgery. The surgery included radical hysterectomy and a procedure to prevent vaginal shortening (101), modified radical hysterectomy (79) and simple hysterectomy (7), with systematic lymphadenectomy.Results: There was a significant difference in the incidence of pelvic lymphocysts between cervical cancer (4.8%) and ovarian cancer (18.8%). The postoperative incidence of lymphocyst formation in patients undergoing radical hysterectomy with the procedure to prevent vaginal shortening (5.9%) was significantly lower than in those who underwent modified radical hysterectomy (15.2%).Conclusion: Our procedure to prevent vaginal shortening could be effective in preventing not only the shortening of the vagina but also the occurrence of pelvic lymphocysts in patients undergoing radical hysterectomy with systematic lymphadenectomy for gynecological malignancies.