[Causes, prevention and treatment of complications of lymphadenectomy in testicular tumor patients].
In our clinic 483 lymphnode dissections were performed during the last 17 years. Different complications were found under operation in 2.7% and postoperatively in 9.9%. The mortality rate was 0.8%. Three years ago we started a different technique for lymph node dissection. The lowest incidence of complications during this period was found in the modified unilateral resection technique (8.9%), far higher after the bilateral (radical) (24%), the second-look lymphadenectomy (33%) and the so-called "salvage-lymphadenectomy" (42.9%). Causes of complications, therapy and prevention are discussed.
D001012:Aorta, Abdominal / Q000293:injuries; D001807:Blood Vessel Prosthesis; D006406:Hematoma / Q000628:therapy; D006801:Humans; D007415:Intestinal Obstruction / Q000628:therapy; D007431:Intraoperative Complications / Q000628:therapy*; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D008297:Male; D010996:Pleural Effusion / Q000628:therapy; D011183:Postoperative Complications / Q000628:therapy*; D011379:Prognosis; D011655:Pulmonary Embolism / Q000628:therapy; D012077:Renal Artery / Q000293:injuries; D013529:Surgical Wound Dehiscence / Q000628:therapy; D013530:Surgical Wound Infection / Q000628:therapy; D013736:Testicular Neoplasms / Q000601:surgery*; D014513:Ureter / Q000293:injuries; D014682:Vena Cava, Inferior / Q000293:injuries
Ursachen, Prävention und Behandlung von Komplikationen der Lymphadenektomie beim Hodentumorpatienten.