title: Deep obturator lymph node dissection in gynaecological cancer patients: Is it feasible and useful?
abstract: Our aim was to investigate the feasibility and outcomes of deep obturator lymph node (DOLN) dissection in gynaecological cancer patients. A prospective study included 62 patients with a diagnosis of ovarian, endometrial or cervical cancer who underwent surgery. In the study group, 36 patients underwent obturator lymph node dissection above and under the obturator nerve, while 26 control group patients underwent routine obturator lymph node dissection above the obturator nerve. Groups were compared with respect to dissected lymph node count, intraoperative characteristics and early postoperative complications. Total lymph node count in the DOLN dissected group was greater than that in the control group, and the difference was statistically significant. No statistically significant difference was found between the groups, regarding postoperative complications and intraoperative characteristics. The total number of lymph nodes dissected by using DOLN dissection increased without an increase in intra- and postoperative complications in gynaecological cancer patients.
authors.affiliation: a Department of Obstetrics and Gynecology , Şanlıurfa Maternity Hospital , Urfa , Turkey.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Padak
authors.affiliation: b Department of Obstetrics and Gynecology , School of Medicine, Mugla Sitki Kocman University , Mugla , Turkey.
authors.forename: Burcu
authors.initials: B
authors.lastname: Kasap
authors.affiliation: c Department of Obstetrics and Gynecology Clinic III , Izmir Ataturk Training and Research Hospital , Izmir , Turkey , and.
authors.forename: Hakan
authors.initials: H
authors.lastname: Yetimalar
authors.affiliation: c Department of Obstetrics and Gynecology Clinic III , Izmir Ataturk Training and Research Hospital , Izmir , Turkey , and.
authors.forename: Derya
authors.initials: D
authors.lastname: Kılıç Sakarya
authors.affiliation: d Department of Pathology , Izmir Ataturk Training and Research Hospital , Izmir , Turkey.
authors.forename: Seyran
authors.initials: S
authors.lastname: Yiğit
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016889:Endometrial Neoplasms / Q000473:pathology / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008197:Lymph Node Excision / Q000379:methods*; D008198:Lymph Nodes / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000473:pathology / Q000601:surgery*; D010388:Pelvis; D011446:Prospective Studies; D016896:Treatment Outcome; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery*; D055815:Young Adult
keywords: Ovarian cancer; cervical cancer; deep obturator lymph node; endometrial cancer; lymph node dissection