Pelvic lymphocysts following retroperitoneal lymphadenectomy: Retroperitoneal partial “no-closure” for ovarian and endometrial cancers
✍ Scribed by Suzuki, Mitsuaki; Ohwada, Michitaka; Sato, Ikuo
- Publisher
- John Wiley and Sons
- Year
- 1998
- Tongue
- English
- Weight
- 100 KB
- Volume
- 68
- Category
- Article
- ISSN
- 0022-4790
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✦ Synopsis
Background and Objectives: Pelvic lymphocysts have been reported mainly following pelvic lymphadenectomy for cervical cancer. We attempted to assess whether retroperitoneal partial ''no-closure'' reduces the incidence of lymphocyst formation following retroperitoneal lymphadenectomy. Methods: Sixty-one patients with ovarian cancer or endometrial cancer who underwent retroperitoneal lymph node resection were assigned at random to a retroperitoneal partial ''no-closure'' group or a ''closure'' group. The incidence of lymphocysts in the two groups as determined using ultrasonography was compared. Results: Lymphocysts appeared in 23/61 patients (38%) in total. In the ''closure'' group, the incidence was 52% (16/31), but in the ''no-closure'' group it was only 23% (7/30); the incidence in the ''no-closure'' group was significantly lower (P < 0.05). The incidence of postoperative fever was 17% (5/30) in the ''no-closure'' group, which was lower than that in the ''closure'' group (42%, 13/31), but not significantly so (P < 0.1). No patients in the ''no-closure'' group required surgical procedures such as needle aspiration or cyst drainage. Conclusions: Retroperitoneal partial ''no-closure'' appears to be a useful procedure for reducing the incidence of pelvic lymphocysts associated with retroperitoneal lymphadenectomy.