Postoperative lymphocyst formation after pelvic lymphadenectomy for gynecologic cancers: comparison between laparoscopy and laparotomy

Purpose The goal of this study was to evaluate, using definitive diagnostic criteria, the incidence of lymphocyst formation following pelvic lymphadenectomy for gynecological cancer, and to compare rates between the approaches of laparoscopy and laparotomy. Methods We retrospectively reviewed the me...

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Bibliographic Details
Published in:International journal of clinical oncology 2022-03, Vol.27 (3), p.602-608
Main Authors: Kakubari, Reisa, Kobayashi, Eiji, Kakuda, Mamoru, Iwamiya, Tadashi, Takiuchi, Tsuyoshi, Kodama, Michiko, Hashimoto, Kae, Ueda, Yutaka, Sawada, Kenjiro, Tomimatsu, Takuji, Kimura, Tadashi
Format: Article
Language:English
Subjects:
Cancer
Cancer Research
Cervix
Computed tomography
Endometrial cancer
Endometrial Neoplasms - surgery
Endometrium
Female
Humans
Laparoscopy
Laparoscopy - adverse effects
Laparoscopy - methods
Laparotomy
Laparotomy - adverse effects
Laparotomy - methods
Lymph Node Excision - adverse effects
Lymph Node Excision - methods
Lymphocele - etiology
Lymphocele - surgery
Medical records
Medicine
Medicine & Public Health
Oncology
Original Article
Retrospective Studies
Surgical Oncology
Uterine cancer
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Summary:Purpose The goal of this study was to evaluate, using definitive diagnostic criteria, the incidence of lymphocyst formation following pelvic lymphadenectomy for gynecological cancer, and to compare rates between the approaches of laparoscopy and laparotomy. Methods We retrospectively reviewed the medical records of all patients who underwent pelvic lymphadenectomy for cervical or endometrial cancer between March of 2010 and March of 2016. We defined a lymphocyst as a circumscribed collection of fluid within the pelvic cavity, with a diameter of 2 cm or more, as diagnosed with ultrasound or computed tomography. Results During the six-year observational period, a pelvic lymphadenectomy was conducted in 196 women with clinical stage I uterine cancer; 90 cases underwent laparoscopy, 106 underwent laparotomy. The minimally invasive laparoscopic group had a lower estimated blood loss ( p  
ISSN:1341-9625
1437-7772
DOI:10.1007/s10147-021-02052-1