[Complications and results of Wertheim's operation performed for the treatment of uterine cancer].
Enlarged colpohysterectomy with lymphadenectomy was performed in 199 patients for cancer of cervix (132 cases), of endometrium (67 cases), of vagina (2 cases) or of tubes (1 case) during combined radiosurgical therapy of these tumors. There was no mortality, the incidence of thrombo-embolic accidents was 3% and urinary fistula was not seen. A lumphocele developed in 7.5% of cases, this level being related to the degree of lymphatic curettage, which should involve not less than 13 glands to avoid lack of efficacy and not more than 20 glands to prevent complications, in cervical cancer. For endometrial cancer, curettage is limited to external iliac obturator glands and retrocrural nodes in young women, and is even omitted in elderly women.
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D007045:Hysterectomy, Vaginal / Q000009:adverse effects / Q000379:methods*; D008197:Lymph Node Excision; D008875:Middle Aged; D009367:Neoplasm Staging; D011183:Postoperative Complications; D014594:Uterine Neoplasms / Q000601:surgery*
Les complications et les résultats de l'intervention de Wertheim pratiquée pour le traitement des cancers de l'utérus.