[Significance of the non-peritonization technic in extended lymphadenocolpohysterectomies in uterine cancer. Analysis and results in a series cases].
The gravity of the pelvic lymphocysts after extended lymphadeno-colpo-hysterectomies for uterine cancers has been outlined in many studies and only a preventive strategy can reduce the morbidity, which is mainly of urinary order. The present technique is in line with this approach and breaches the peritonization dogma in gynaecology. After the presentation of 60 cases of extended colpo-hysterectomies with iliac lymphadenectomy and without reperitonization, the authors study the post-operative lymphorrhea and evaluate the morbidity proper to the technique by comparing their results with the literature data. The safety , the feasibility of the technique and its preventive role in the development of lymphocysts should favour its expansion in pelvic cancer surgery.
Rodier
J F
JF
Département de Chirurgie Oncologique, Centre Régional de Lutte contre le Cancer Paul-Strauss, Strasbourg.
Janser
J C
JC
Navarrete
E
E
Rodier
D
D
D000328:Adult; D000368:Aged; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D007045:Hysterectomy, Vaginal / Q000379:methods*; D008197:Lymph Node Excision / Q000379:methods*; D008206:Lymphatic Diseases / Q000209:etiology*; D008210:Lymphocele / Q000209:etiology*; D008875:Middle Aged; D010537:Peritoneum / Q000601:surgery; D011300:Preoperative Care; D002583:Uterine Cervical Neoplasms / Q000601:surgery*; D014594:Uterine Neoplasms / Q000601:surgery
Intérêt de la technique de non péritonisation dans les lymphadéno-colpo-hystérectomies élargies pour cancers utérins. Analyse et résultats d'une série de 60 cas.