[Complications in 1,092 radical abdominal hysterectomies with pelvic lymphadenectomies (author's transl)].
1,092 patients were operated for carcinoma of the uterine cervix according to a standardized radical abdominal hysterectomy with obligatory pelvic lymphadenectomy. The operative specimen showed metastases of the lymph nodes in 45,6% of the cases. In 15% of the cases embolization of tumor cells was found. In 8.7% of the specimes micro-metastases were seen and in 21.9% gross metastases were found. Postoperatively 1.5% of the cases developed bleeding. Ileus occured in 0.7% of the cases. A vesicovaginal fistula occurred in 0.3% of the patients. 1.4% of the patients developed a uretero-vaginal fistula. The operative mortality up to the 30th post-operative day was 1%.
D000328:Adult; D000368:Aged; D005260:Female; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D007415:Intestinal Obstruction / Q000209:etiology; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D008875:Middle Aged; D010388:Pelvis; D011183:Postoperative Complications; D014515:Ureteral Diseases / Q000209:etiology; D002583:Uterine Cervical Neoplasms / Q000601:surgery; D014624:Vaginal Fistula / Q000209:etiology; D014719:Vesicovaginal Fistula / Q000209:etiology
Komplikationen bei 1092 erweiterten abdominalen Krebsoperationen mit obligatorischer Lymphonodektomie. Ergebnisse einer kooperativen Studie an vier Universitäts-Frauenkliniken.