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Int J Environ Res Public Health. 2019 Mar 15;16(6). pii: E936. doi: 10.3390/ijerph16060936.

Predictors of Lymphoceles in Women Who Underwent Laparotomic Retroperitoneal Lymph Node Dissection for Early Gynecologic Cancer: A Retrospective Cohort Study.

Author information

1
Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital, Banqiao, New Taipei 220, Taiwan. thandaaye24@gmail.com.
2
Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital, Banqiao, New Taipei 220, Taiwan. stellatingwh@yahoo.com.
3
Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital, Banqiao, New Taipei 220, Taiwan. hhlin@ntuh.gov.tw.
4
Department of Obstetrics and Gynecology, National Taiwan University College of Medicine and the Hospital, Taipei 100, Taiwan. hhlin@ntuh.gov.tw.
5
Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital, Banqiao, New Taipei 220, Taiwan. smhsiao2@gmail.com.
6
Department of Obstetrics and Gynecology, National Taiwan University College of Medicine and the Hospital, Taipei 100, Taiwan. smhsiao2@gmail.com.
7
Graduate School of Biotechnology and Bioengineering, Yuan Ze University, Taoyuan 320, Taiwan. smhsiao2@gmail.com.

Abstract

Background: Lymphoceles could represent a detrimental complication after retroperitoneal lymph node dissection. Our aim was to elucidate predictors of lymphoceles. Methods: Between 2011 and 2017, medical records of consecutive women who underwent laparotomic retroperitoneal lymph node dissection for FIGO stage I or II gynecologic cancer were reviewed. Results: A total of 204 women, including those with lymphoceles (n = 31) and symptomatic lymphoceles (n = 7), were reviewed. According to multivariable analysis, parity (odds ratio = 0.59, p = 0.003), adjuvant pelvic radiotherapy (odds ratio = 2.60, p = 0.039), and peritoneal nonclosure without pelvic drainage (odds ratio = 2.31, p = 0.048) were predictors of lymphoceles. In addition, parity (odds ratio = 0.73, p = 0.03), hypertension (odds ratio = 2.62, p = 0.02), and peritoneal partial closure with pelvic drainage (odds ratio = 0.27, p = 0.02) were predictors of complications. Conclusion: Low parity, adjuvant pelvic radiotherapy, and peritoneal nonclosure without pelvic drainage were associated with increased lymphocele formation. In addition, a lower complication rate was found in the peritoneal partial closure with pelvic drainage group; thus, peritoneal partial closure with pelvic drainage might be suggested for women who undergo laparotomic retroperitoneal lymph node dissection.

KEYWORDS:

drainage; gynecology; lymph node excision; lymphocele; peritoneum

PMID:
30875912
DOI:
10.3390/ijerph16060936
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