Complications of pelvic lymphadenectomy in patients with endometrial adenocarcinoma.
The complications of surgical treatment in 193 cases of endometrial adenocarcinoma, subdivided into two groups, were analyzed: 58 without lymphadenectomy and 135 with systematic pelvic lymphadenectomy before total abdominal hysterectomy and bilateral salpingo-oophorectomy with vaginal cuff. The only significant differences concern the number of patients requiring transfusions and the length of the postoperative stay. It is suggested that lymphadenectomy should always be performed when an abdominal approach is chosen.
Babilonti
L
L
Department of Obstetrics and Gynecology, School of Medicine, Pavia University, Italy.
Di Pietro
G
G
La Fianza
A
A
Beretta
P
P
Franchi
M
M
D000230:Adenocarcinoma / Q000401:mortality / Q000601:surgery*; D004715:Endometriosis / Q000401:mortality / Q000601:surgery*; D005260:Female; D006801:Humans; D008197:Lymph Node Excision / Q000009:adverse effects* / Q000401:mortality; D008207:Lymphatic Metastasis; D008875:Middle Aged; D011183:Postoperative Complications; D012307:Risk Factors; D014594:Uterine Neoplasms / Q000401:mortality / Q000601:surgery*