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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 700 - 708 (9page)
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초록· 키워드
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ObjectiveThis study identified the distribution of lymphocele, as well as the factors associated with lymphocele formation,in patients undergoing pelvic and/or para-aortic lymph node dissection (PLND and/or PALND) for gynecologicmalignancies. MethodsThis study was retrospective, and data were collected from patients who underwent surgical procedures includinglymphadenectomy due to gynecologic malignancies from March 2013 to May 2016. Lymphocele was defined bypostoperative computer tomography within 2 weeks after surgery. ResultsA total of 116 patients underwent lymphadenectomy, of whom, 47 (42.0%) developed lymphocele and 14 (12.1%)had symptomatic lymphocele formation. The affecting factors of lymphocele formation were PLND concomitant withPALND and a large amount of blood loss ≥600 mL (P=0.030 and P=0.006, respectively). All clinical factors were notsignificantly different between patients with symptomatic and asymptomatic lymphocele. Lymphocele developedmore frequently in the left side (67.1%) of the body compared to the right side (48.7%), and in the pelvic area (75.9%)compared to the para-aortic area (24.1%, P<0.001, both). ConclusionLymphocele formation is more prevalent in the left and pelvic area of the body compared to the right and paraaorticside. PLND concurrent with PALND and large amounts of blood loss were significant risk factors for lymphoceleformation.
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참고문헌 (11)
참고문헌 신청
김윤환 / 2017 / Prevention of lymphocele by using gelatin-thrombin matrix as a tissue sealant after pelvic lymphadenectomy in patients with gynecologic cancers: a prospective randomized controlled study / Journal of Gynecologic Oncology 28(3):1~7
Tinelli A / 2013 / Lymphocele prevention after pelvic laparoscopic lymphadenectomy by a collagen patch coated with human coagulation factors : a matched case-control study / Int J Gynecol Cancer 23:956~963
Mori N / 1955 / Clinical and experimental studies on the socalled lymphocyst which develops after radical hysterectomy in cancer of the uterine cervix / J Jpn Obstet Gynecol Soc 2:178~203
Zikan M / 2015 / A prospective study examining the incidence of asymptomatic and symptomatic lymphoceles following lymphadenectomy in patients with gynecological cancer / Gynecol Oncol 137:291~298
Weinberger V / 2014 / Lymphocele : prevalence and management in gynecological malignancies / Expert Rev Anticancer Ther 14:307~317
Tinelli A / 2013 / Lymphocele prevention after pelvic laparoscopic lymphadenectomy by a collagen patch coated with human coagulation factors : a matched case-control study / Int J Gynecol Cancer 23:956~963
Mori N / 1955 / Clinical and experimental studies on the socalled lymphocyst which develops after radical hysterectomy in cancer of the uterine cervix / J Jpn Obstet Gynecol Soc 2:178~203
Zikan M / 2015 / A prospective study examining the incidence of asymptomatic and symptomatic lymphoceles following lymphadenectomy in patients with gynecological cancer / Gynecol Oncol 137:291~298
Weinberger V / 2014 / Lymphocele : prevalence and management in gynecological malignancies / Expert Rev Anticancer Ther 14:307~317
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