Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Retroperitoneal drainage after complete paraaortic lymphadenectomy for gynecologic cancer: A randomized trial
Autore:
Morice, P; Lassau, N; Pautier, P; Haie-Meder, C; Lhomme, C; Castaigne, D;
Indirizzi:
Inst Gustave Roussy, Dept Gynecol Surg Imaging Oncol & Radiotherapy, F-94805 Villejuif, France Inst Gustave Roussy Villejuif France F-94805 , F-94805 Villejuif, France
Titolo Testata:
OBSTETRICS AND GYNECOLOGY
fascicolo: 2, volume: 97, anno: 2001,
pagine: 243 - 247
SICI:
0029-7844(200102)97:2<243:RDACPL>2.0.ZU;2-N
Fonte:
ISI
Lingua:
ENG
Soggetto:
II CERVICAL-CARCINOMA; RADICAL ABDOMINAL HYSTERECTOMY; ADVANCED OVARIAN-CARCINOMA; CLOSED-SUCTION DRAINAGE; STAGE-IB; PELVIC LYMPHADENECTOMY; DEBULKING SURGERY; LYMPHATIC SPREAD; NO DRAINAGE; CHEMOTHERAPY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
24
Recensione:
Indirizzi per estratti:
Indirizzo: Morice, P Inst Gustave Roussy, Dept Gynecol Surg Imaging Oncol & Radiotherapy, 39 Rue Camille Desmoulins, F-94805 Villejuif, France Inst Gustave Roussy 39 Rue Camille Desmoulins Villejuif France F-94805
Citazione:
P. Morice et al., "Retroperitoneal drainage after complete paraaortic lymphadenectomy for gynecologic cancer: A randomized trial", OBSTET GYN, 97(2), 2001, pp. 243-247

Abstract

Objective: To determine the relationship between retroperitoneal drainage after complete para-aortic lymphadenectomy for gynecologic cancer and subsequent development of lymphocysts. Methods: Eighty women undergoing complete para-aortic lymphadenectomy up to the level of the left renal vein for ovarian (n = 43) or cervical carcinoma (n = 37) were randomly assigned to receive drainage or no drainage of the para-aortic area. Most of patients had pelvic drainage. Abdominopelvic ultrasonography was done 8 to 12 days after surgery. postoperative complications, duration of hospital stay, and characteristics of asymptomatic lymphocysts were studied. Results: Forty-two women had para-aortic drainage and 38 did not. Complications occurred in 15 patients who had drainage and in 5 patients who did not have drainage (36% versus 13%; P < .02). Three patients (8%) in the undrained group had complications potentially related to drainage (symptomatic lymphocysts or ascites) compared with 11 (26%) in the drained group (<chi>(2) = 4.6; P < .05). Median duration of the hospital stay was 9 days in the undrained group and 11 days in the drained group (P < .03). The number of asymptomatic pars-aortic lymphocysts detected during the ultrasonography was 9 (24%) in the undrained and 2 (5%) in the drained group (chi (2) = 4.6; P < .05). Conclusions: The number of asymptomatic para-aortic lymphocysts was higherin patients who did not undergo drainage, but morbidity and the duration of hospitalization were increased in these patients. Routine drainage of theretroperitoneum after pam-aortic lymphadenectomy should be abandoned. (Obstet Gynecol 2001;97:243-7. (C) 2001 by The American College of Obstetricians and Gynecologists.).

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/12/20 alle ore 07:13:02