Complications of laparoscopic radical hysterectomy and lymphadenectomy for invasive cervical cancer: experience based on 317 procedures

Xu, Huilin; Chen, Y.; Li, Y.; Zhang, Q.; Wang, D.; Liang, Zhiqing

doi:10.1007/s00464-006-9129-0

Cited by 61 publications

(28 citation statements)

References 29 publications

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“…For the knot-tying task, all PGY4's (mean time = 277 s, SD = 1.25) and one PGY1 (time = 235 s) were able to perform the task under the maximum time limit of 6 min (Table 1) as per E-BLUS guidelines [5]. The remaining 12 participants (70.5 %) were not able to complete the intracorporeal suture below the provided 6 min.…”

Section: Resultsmentioning

confidence: 99%

“…Major vessel injury (MVI) is an infrequent, but critical complication associated with laparoscopic surgery that leads to blood loss, conversion to open surgery, multiple organ failure, shock, or death [1][2][3]. Intracorporeal knot-tying is a necessary skill for a successful intraoperative repair of a vessel injury and is considered to be a basic skill required to safely practice laparoscopic surgery [4,5].…”

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confidence: 99%

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Preliminary evaluation of the SimPORTAL major vessel injury (MVI) repair model

et al. 2015

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Section: Resultsmentioning

confidence: 99%

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confidence: 99%

Preliminary evaluation of the SimPORTAL major vessel injury (MVI) repair model

et al. 2015

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“…Park et al (2002) reported that in 52 patients with stage IB1 cervical cancer treated with laparoscopic radical hysterectomy and pelvic lymph node dissection, there were 2 cases of ureteral injury (3.8%). Xu et al (2007) reported 5 cases of ureteral injury among 317 cases (1.58%) of laparoscopic radical hysterectomy and pelvic lymph node dissection. Lee et al (2010) reported that of 139 cases of cervical cancer that were treated with laparoscopic radical hysterectomy and pelvic lymph node dissection, only one case (0.72%) showed ureteral injury.…”

Section: Discussionmentioning

confidence: 99%

Preset ureter catheter in laparoscopic radical hysterectomy of cervical cancer

Han¹,

Cao²,

Jiang³

et al. 2014

Genet. Mol. Res.

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ABSTRACT. The aim of this study was to evaluate the clinical efficacy of a temporary ureteral catheter in preventing iatrogenic ureteral damage in cervical cancer patients undergoing laparoscopic radical hysterectomy. All cases had confirmed diagnoses of cervical cancer preoperatively between December 2008 and December 2012 in our hospital and were in clinical stages IA2 to IIA. In total, 176 laparoscopic radical hysterectomy and lymphadenectomy procedures were performed. The 176 cases were divided into two groups: ureteral catheters were installed using cystoscopy before the operation in 86 patients (group A), and ureteral catheters were not placed in 90 patients (group B). These cases were retrospectively analyzed based on postoperative hospitalization time and intraoperative and postoperative complications. A total of 6 cases (3.41%) had ureteral injuries, and 4 of the cases (4.65%) of ureteral injuries occurred in group A. In two of these cases, urinary leaking appeared at the post-operative 8th and 9th days and at the 10th and 25th days, respectively. There were 2 cases (2.22%) of ureteral injuries in group B: 1 case of intraoperative direct Laparoscopic radical hysterectomy of cervical cancer injury and the other of urinary leaking, which appeared at post-operative day 21. Statistically significant differences between the two groups were observed in operating time and the incidence of hemorrhage, hematuria (including microscopic hematuria), post-operative urinary tract infection, and pain (P < 0.05). A ureteral catheter that is placed preoperatively can help to identify the ureter in laparoscopic radical hysterectomy, but does not decrease the incidence of ureteral injury.

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“…Histopathological examination provides the most accurate method of ascertaining the degree of metastatic spread to the lymph nodes, although the complications and practical significance of LNE remain controversial. Certain researchers have reported a low therapeutic significance of LNE, however, it causes unavoidable complications that affect the quality of life of the patients (14,15), while others argue that it aids in obtaining a systematic stage for the patient, particularly from the histological aspect (16). Beside the histological type and the invasion depth the of myometrial layer, the lymph node status is extremely significant in the determination of postoperative treatment, particularly radiotherapy (17,18).…”

Section: Discussionmentioning

confidence: 99%

A cohort study evaluating paraaortic lymphadenectomy in endometrial cancer

et al. 2012

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Abstract. The current study sought to assess the role of paraaortic lymphadenectomy (LNE) in females with endometrial cancer. A retrospective analysis of patients diagnosed with endometrial cancer of stage IA to II preoperatively, between 2009 and 2011 was conducted. Patients were included who had suffered from endometrial cancer without preoperative adjuvant therapy and who underwent hysterectomy plus systematic pelvic LNE and paraaortic LNE by laparoscopy or laparotomy. A total of 54 patients who underwent surgery for preoperative endometrial cancer were selected. All patients underwent LNE. The incidences of pelvic and paraaortic lymph node metastases were 11.1% (6/54) and 7.4% (4/54), with a total positive lymph node rate of 14.8% (8/54). In addition, among the 8 positive cases, 5 patients underwent laparotomy and 3 underwent laparoscopy; 3 cases were classified as stage I and 5 as stage II preoperatively. Of these, 7 patients were identified with pathology-related risk factors, including low differentiation or clear cell adenocarcinoma postoperatively. Discordance of pathological differentiation between the pre-and postoperative stages reached 57.1% (4/7). The results revealed the high occurrence of positive lymph nodes in endometrial cancer which demonstrate the importance of systematic LNE. Additonally, no severe complications were caused by LNE besides lymph cysts. In summary, it is neccesary to perform LNE, particularly the removal of the paraaortic lymph node, in patients with endometrial cancers in order to improve postoperative therapy. Laparoscopy has similar surgical effects as laparotomy, but has a number of advantages.

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Complications of laparoscopic radical hysterectomy and lymphadenectomy for invasive cervical cancer: experience based on 317 procedures

Abstract: Laparoscopic radical hysterectomy and lymphadenectomy is becoming a routine procedure in the armamentarium of many gynecologists. Complications unique to laparoscopy do exist, but they decrease with repeated training of the procedure and gradually enriched experiences.

Cited by 61 publications

References 29 publications

Preliminary evaluation of the SimPORTAL major vessel injury (MVI) repair model

Preliminary evaluation of the SimPORTAL major vessel injury (MVI) repair model

Preset ureter catheter in laparoscopic radical hysterectomy of cervical cancer

A cohort study evaluating paraaortic lymphadenectomy in endometrial cancer

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