Back to Search
Start Over
Complications of laparoscopic radical hysterectomy and pelvic lymphadenectomy--experience of 117 patients.
- Source :
-
International journal of gynecological cancer : official journal of the International Gynecological Cancer Society [Int J Gynecol Cancer] 2009 Jul; Vol. 19 (5), pp. 963-7. - Publication Year :
- 2009
-
Abstract
- Objective: To describe the combined surgical technique of laparoscopic radical hysterectomy and pelvic lymphadenectomy (LRH + LPL) for cervical cancers and summarize our experiences in prevention and treatment of complications, so as to provide strategies to prevent and appropriately manage the complications that may occur during these procedures.<br />Methods: A retrospective study was conducted on LRH + LPL in 117 cases of cervical cancer with International Federation of Gynecology and Obstetrics stages Ib (n = 96) and II a (n = 21) from August 1998 to December 2006. The intraoperative and postoperative complications were analyzed.<br />Results: The overall conversion rate was 1.7% (2/117). Four patients had vessel injuries, 3 of which were treated laparoscopically. One patient had a common iliac vein laceration that could not be controlled laparoscopically after failing to deal with the injured branch of common iliac vein. Cystotomy occurred in 5 patients. One case of stage IIa with a bladder laceration longer than 3 cm was converted to laparotomy during the early stages of the learning curve. The remaining 4 were managed laparoscopically. Postoperative complications occurred in 38.5% (n = 45) of the patients, including 38 patients with urinary retention who exhibited complete resolution within 6 months by intermittent training and catheterization, 4 with lymphocyst who underwent conservation treatment, 1 with ureteral fistula that was treated by cystoscopic placement of double-J ureteral stents, 1 with mild adynamic bowel obstruction who received conservative management, and 1 with vesicovaginal fistula that was closed by conservative treatment.<br />Conclusions: With the continuous skilled laparoscopic technology, mastering the tips of prevention, and treatment of complications, LRH + LPL will be widely performed in the future.
- Subjects :
- Adenocarcinoma complications
Adenocarcinoma secondary
Adenocarcinoma surgery
Adolescent
Adult
Aged
Carcinoma, Adenosquamous complications
Carcinoma, Adenosquamous secondary
Carcinoma, Adenosquamous surgery
Carcinoma, Squamous Cell complications
Carcinoma, Squamous Cell secondary
Carcinoma, Squamous Cell surgery
Female
Humans
Middle Aged
Neoplasm Staging
Prognosis
Retrospective Studies
Survival Rate
Treatment Outcome
Uterine Cervical Neoplasms pathology
Young Adult
Hysterectomy
Laparoscopy
Lymph Node Excision
Postoperative Complications prevention & control
Uterine Cervical Neoplasms complications
Uterine Cervical Neoplasms surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1525-1438
- Volume :
- 19
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- International journal of gynecological cancer : official journal of the International Gynecological Cancer Society
- Publication Type :
- Academic Journal
- Accession number :
- 19574793
- Full Text :
- https://doi.org/10.1111/IGC.0b013e3181a79430