title: Obesity does not affect the number of retrieved lymph nodes and the rate of intraoperative complications in gynecologic cancers.
abstract: OBJECTIVE
  Lymphadenectomy, in general, is a safe and well-tolerated procedure in gynecologic oncology. However, some technical difficulties may be experienced in obese women which may result in inadequate lymphadenectomy and increased complications. The purpose of this study is to retrospectively evaluate the effect of obesity on lymph node counts retrieved and complication rates observed during lymphadenectomy in gynecologic cancers.
  
  
  METHODS
  Patients with ovarian, endometrial or cervical cancers treated with initial surgery including bilateral pelvic and paraaortic lymph node dissection were grouped as non-obese and obese. These two groups were compared in terms of the number of retrieved lymph nodes and the rate of intraoperative complications directly related to lymph node dissection.
  
  
  RESULTS
  One hundred twenty-three patients were eligible with a mean age of 55.1 years and mean body mass index of 29.2 kg/m(2). Fifty-nine patients were obese while 64 were non-obese. Lymph node counts obtained in different stations and in total were similar among non-obese and obese patients. Rates of lymphadenectomy-related intraoperative complications including vascular, neural, intestinal, and bladder injury were also similar in non-obese and obese patients.
  
  
  CONCLUSIONS
  The obesity does not affect the lymph node counts and intraoperative complication rates adversely in women with gynecologic cancers. Therefore, adequate lymph node dissection should not be omitted based solely upon obesity in gynecologic oncology patients.
authors.affiliation: Department of Obstetrics and Gynecology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
authors.forename: Mehmet Coskun
authors.initials: MC
authors.lastname: Salman
authors.forename: Alp
authors.initials: A
authors.lastname: Usubutun
authors.forename: Tulay
authors.initials: T
authors.lastname: Ozlu
authors.forename: Kubra
authors.initials: K
authors.lastname: Boynukalin
authors.forename: Kunter
authors.initials: K
authors.lastname: Yuce