Öz
ÖZET:
Amaç : Laparoskopi ile Sistemik Para-aortik Lenfadenektomi (PAL) yapılan olgularda kullanılan teknik ve deneyimlerimizin sunulması
Yöntem: Endometrium kanseri nedeniyle sistemik PAL yapılan ardışık 100 vakanın geriye dönük incelenmesi yapıldı. Bu kapsamda olguların yaş, vücut kitle indeksi (BMI), ek hastalık gibi özellikleri ve operasyon süresi, çıkarılan lenf nodlarının sayısı, komplikasyon tip ve oranları gibi operasyona ait bilgiler gözden geçirildi.
Bulgular: Olguların yaş ortalaması 59.3 ± 8.3, BMI( vücut kütle indeksi): 45.5 ± 6.7 olarak bulundu. Final histopatolojik değerlendirme sonuçları, evre IA: 80 (%80); IB: 11 ( % 11); II: 1(%1); IIIC1: 3(%3); IIIC2: 5(%5) olarak belirlendi. İkisi sol renal vende biri inferior mezenterik arter (IMA) seviyesinin inferiorunda vena kava inferiorda (VKI) olmak üzere 3 olguda vasküler yaralanma nedeniyle laparatomiye geçildi.
Sonuç: Laparoskopik paraaortik lenfadenektomi belirli deneyimlerden sonra uygulanabilir bir yöntem olarak gözükmektedir.
Anahtar Kelimeler: Para-aortik, Laparoskopik Lenfadenektomi, Endometrium Kanseri
EVALUATION OF FIRST 100 CASES IN LAPAROSCOPIC PARA-AORTIC LYMPHADENECTOMY AND TECHNIQUE
ABSTRACT
Purpose: To present our experience and technique used in systemic paraaortic lymphadenectomy (PAL) cases
Methods: A retrospective review of 100 consecutive cases of systemic PAL for endometrial cancer was performed. In this context, demographic features of cases such as age, body mass index (BMI), and additional disease and information about the operation such as duration of operation, number of lymph nodes removed, types and rates of complications were reviewed.
Results: The mean age of the cases was 59.3 ± 8.3, and mean BMI was 45.5 ± 6.7. Final histopathologic evaluation results were reported as stage IA: 80(80%); IB: 11(11%); II: 1(1%); IIIC1: 3 (3%); IIIC2: 5 (5%). Laparotomy due to vascular injury was performed at three cases, two of whom had left renal vein injury and one of whom had vena cava inferior (VCI) injury below the level of inferior mesenteric artery (IMA).
Conclusion: Laparoscopic paraaortic lymphadenectomy appears to be a feasible method after certain experiences.
Key Words: Paraaortic, Lymphadenectomy, Endometrial Cancer.
Anahtar Kelimeler
Kaynakça
- 1- Kumar S, Podratz KC, Bakkum-Gamez JN, et al Prospective assessment of the prevalence of pelvic, paraaortic and high paraaortic lymph node metastasis in endometrial cancer. Gynecol Oncol. 2014;132:38-43
- 2- Mariani A, Dowdy SC, Cliby WA et al.Prospective assessment of lymphatic dissemination in endometrial cancer: a paradigm shift in surgical staging. Gynecol Oncol. 2008;109:11-8.
- 3- Azaïs H, Ghesquière L, Petitnicolas C et al. Pretherapeutic staging of locally advanced cervical cancer: Inframesenteric paraaortic lymphadenectomy accuracy to detect paraaortic metastases in comparison with infrarenal paraaortic lymphadenectomy. Gynecol Oncol. 2017;147:340-344.
- 4-Bae JW, Lee JH, Choi JS. Laparoscopic lymphadenectomy for gynecologic malignancies: evaluation of the surgical approach and outcomes over a seven-year experience. Arch Gynecol Obstet. 2012;285:823–829.
Öz
Kaynakça
- 1- Kumar S, Podratz KC, Bakkum-Gamez JN, et al Prospective assessment of the prevalence of pelvic, paraaortic and high paraaortic lymph node metastasis in endometrial cancer. Gynecol Oncol. 2014;132:38-43
- 2- Mariani A, Dowdy SC, Cliby WA et al.Prospective assessment of lymphatic dissemination in endometrial cancer: a paradigm shift in surgical staging. Gynecol Oncol. 2008;109:11-8.
- 3- Azaïs H, Ghesquière L, Petitnicolas C et al. Pretherapeutic staging of locally advanced cervical cancer: Inframesenteric paraaortic lymphadenectomy accuracy to detect paraaortic metastases in comparison with infrarenal paraaortic lymphadenectomy. Gynecol Oncol. 2017;147:340-344.
- 4-Bae JW, Lee JH, Choi JS. Laparoscopic lymphadenectomy for gynecologic malignancies: evaluation of the surgical approach and outcomes over a seven-year experience. Arch Gynecol Obstet. 2012;285:823–829.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Cerrahi |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Yayımlanma Tarihi | 24 Ağustos 2020 |
| Gönderilme Tarihi | 15 Ocak 2020 |
| Yayımlandığı Sayı | Yıl 2020 Cilt: 21 Sayı: 3 |