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Annals of Surgical Oncology
Published in: Annals of Surgical Oncology 1/2012

01-01-2012 | Gynecologic Oncology

Lymphoceles, Lymphorrhea, and Lymphedema after Laparoscopic and Open Endometrial Cancer Staging

Authors: Fabio Ghezzi, MD, Stefano Uccella, MD, Antonella Cromi, PhD, Giorgio Bogani, MD, Claudio Robba, MD, Maurizio Serati, MD, Pierfrancesco Bolis, MD

Published in: Annals of Surgical Oncology | Issue 1/2012

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Abstract

Purpose

To evaluate the incidence of lymphoceles, lymphorrhea, and lymphedema after systematic pelvic lymphadenectomy in patients who underwent laparoscopic or open abdominal staging for endometrial cancer.

Methods

A total of 138 consecutive women who underwent systematic laparoscopic pelvic lymphadenectomy for endometrial cancer staging were compared to 123 historical control subjects staged via an open approach. Postoperative screening for lymphadenectomy-related complications by ultrasound was consistently performed.

Results

The incidence of perioperative complications was lower in cases than in control subjects. Overall, lymphoceles were diagnosed in 19 (15.4%) and 2 (1.4%) patients who had open and laparoscopic staging, respectively (odds ratio 12.42; 95% confidence interval 2.82–54.55; P < 0.0001). Symptomatic lymphoceles were more frequent after open staging than after laparoscopy (P = 0.028). Lymphorrhea occurred in 1 and 4 patients after laparoscopic and open surgery (P = 0.19). No difference in the incidence of lymphedema was observed.

Conclusions

Our findings suggest that laparoscopic endometrial cancer staging is associated with a lower occurrence of both asymptomatic and symptomatic lymphoceles compared to open surgery.
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Metadata
Title
Lymphoceles, Lymphorrhea, and Lymphedema after Laparoscopic and Open Endometrial Cancer Staging
Authors
Fabio Ghezzi, MD
Stefano Uccella, MD
Antonella Cromi, PhD
Giorgio Bogani, MD
Claudio Robba, MD
Maurizio Serati, MD
Pierfrancesco Bolis, MD
Publication date
01-01-2012
Publisher
Springer-Verlag
Published in
Annals of Surgical Oncology / Issue 1/2012
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-011-1854-5

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