title: [Complication with paraaortic lymphadenectomy in gynecological cancer patients].
abstract: Although paraaortic lymphadenectomy is one of the standard treatments for gynecological cancer in Japan, it is very invasive so one must examine its safety for patients. Paraaortic lymphadenectomy was performed in 215. Two hundred and fifteen gynecologic cancer patients at our hospital between January 1991 and August 2005. We evaluated operation time, estimated blood loss and the incidence of operative injury, wound complication, and postoperative ileus. It was revealed that the mean operation time was 364 minutes and the estimated blood loss was increased at the operation around the vena cava or renal vein. After we adopted Kocher's technique, the mean blood loss was decreased. The incidence of postoperative ileus was 13.3%, but almost all of the patients were cured within seven days without surgical treatment. The incidence of wound complication was within 10%.
authors: Department of Obstetrics and Gynecology, Japanese Red Cross Nagoya First Hospital.
authors: Ken
authors: K
authors: Miyazaki
authors: Kimio
authors: K
authors: Mizuno
authors: Wakana
authors: W
authors: Hirokawa
authors: Katsuhiko
authors: K
authors: Hiromura
authors: Kumi
authors: K
authors: Hori
authors: Kojiro
authors: K
authors: Minami
authors: Kana
authors: K
authors: Yoshida
authors: Mikihito
authors: M
authors: Takeuchi
authors: Shoji
authors: S
authors: Suzuki
authors: Naohiko
authors: N
authors: Kuno
authors: Tomoko
authors: T
authors: Ando
authors: Madoka
authors: M
authors: Furuhashi
authors: Kaoru
authors: K
authors: Ishikawa
mesh_terms: D001012:Aorta, Abdominal; D016063:Blood Loss, Surgical; D005260:Female; D005833:Genital Neoplasms, Female / Q000601:surgery*; D006801:Humans; D045823:Ileus / Q000209:etiology; D008197:Lymph Node Excision / Q000009:adverse effects / Q000379:methods; D011183:Postoperative Complications