Complications of axillary, inguinal, pelvic and para-aortic lymphadenectomy.
Post-axillary lymphadenectomy complications have been checked in 1097 patients. Lymphedema occurred in 4.6% of cases, brachial injuries in 2% and necrosis with wound dehiscence in 0.44%. Pelvic lymphadenectomy complications have been studied in 139 patients who underwent Wertheim's operation and in 4 cases treated with Schauta-Mitra's operation for cervix or endometrium cancer. Para-aortic and pelvic lymphadenectomy complications have been considered in 92 patients who underwent Wertheim's operation, in 10 patients treated with anterior pelvic exenteration and in 1 patient who underwent posterior pelvic exenteration. The complications of para-aortic and pelvic selective lymphadenectomy have been checked in 101 patients. We had 3 peri-operatory deaths, 5 severe gastrointestinal complications (3 deceased for fistulae) and 2 intra-operatory iliac vessel injuries. Uretero-vaginal fistulae occurred in 6.2% of the cases also treated with radium-therapy and in 2.2% of the others. Intra/post-operatory bleeding was respectively 1500 +/- 450 ml and 450 +/- 300 ml. The complications of inguino-femoral and inguino-pelvic lymphadenectomy for vulvar cancer have been checked in 35 patients who had necrosis and wound dehiscence in all cases and lower limb thrombophlebitis in 2 cases.
Ferraris
G
G
Institute of Gynecology and Obstetrics, Dept. B, Torino University, Italy.
Lanza
A
A
D'Addato
F
F
Re
A
A
Valli
M
M
Caldarola
B
B
Raspollini
M
M
Gordini
G
G
Allone
T
T
D001011:Aorta; D001365:Axilla; D005260:Female; D006801:Humans; D007264:Inguinal Canal; D007410:Intestinal Diseases / Q000209:etiology*; D008197:Lymph Node Excision; D010388:Pelvis; D011183:Postoperative Complications; D014570:Urologic Diseases / Q000209:etiology*