Technik und Morbidität der radikalen inguinal / iliakalen Lymphknotendissektion – eine prospektive Untersuchung an 67 Patienten mit lymphogen metastasiertem malignen Melanom
| العنوان: | Technik und Morbidität der radikalen inguinal / iliakalen Lymphknotendissektion – eine prospektive Untersuchung an 67 Patienten mit lymphogen metastasiertem malignen Melanom |
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| المؤلفون: | G. Schäfer-Hesterberg, C. Voit, Gerold Koplin, H. Neuss, C. Reetz, J. W. Mall |
| المصدر: | Zentralblatt für Chirurgie. 134:437-442 |
| بيانات النشر: | Georg Thieme Verlag KG, 2009. |
| سنة النشر: | 2009 |
| مصطلحات موضوعية: | medicine.medical_specialty, Groin, business.industry, medicine.medical_treatment, Radical Lymph Node Dissection, Perioperative, medicine.disease, Surgery, Venous thrombosis, Dissection, medicine.anatomical_structure, Seroma, medicine, Lymphadenectomy, business, Lymph node |
| الوصف: | BACKGROUND: The surgical radical inguinal / iliacal lymph node dissection (RLND) is the procedure of choice in patients presenting with lymphatic metastasis of melanoma of the lower extremity or the lower part of the trunk. The perioperative morbidity of patients includes not only local wound complications, seroma formation or lymphatic fistula but also leg oedema, deep venous thrombosis and neuralgic disorders postopera-tively. The aim of this prospective study was the evaluation of postoperative morbidity in patients undergoing radical inguinal/iliacal RLND in a standardised surgical fashion. PATIENTS AND METHODS: 67 patients suffering from malignant melanoma of the lower extremity or the lower trunk with metastatic lymph nodes in the groin or the iliacal region underwent a com-bined RLND of the inguinal / iliacal region or the groin alone between 2003 and 2006. All opera-tions were performed in a standardised technique. The main criterion of the study was the -incidence of postoperative wound complications. Minor endpoints included the incidence of lymphatic fistula, the length of hospital stay, and the development of temporary or permanent leg -oedema. RESULTS: 64 patients underwent inguinal / iliacal and 3 patients only inguinal LND (lymph node dissection). All patients tolerated the procedure well. The overall wound complication rate was 34 %. One patient died on the 21 st postopera-tive day due to a pulmonary embolism and a -simultaneous cerebral apoplexy. Lymphatic fis-tula occurred in 22 (33 %) patients whereas -se-roma result-ed in 23 (34 %) patients. The length of hospital stay was 15 (3-41) days. A relevant leg oedema was observed in 9 (13 %) patients. CONCLUSION: Even with a proper perioperative man-agement and a precise wound care man-agement, one-third of the patients undergoing -radical inguinal / iliacal lymphadenectomy suffer from a complication requiring medical or interventional treatment. Our data demonstrate that most of these complications can be treated sufficiently by conservative treatment. A fitted surgical support hose could prevent long-term complications. |
| تدمد: | 1438-9592 0044-409X |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::1ffeef533af0791fea4502abc8e3103d https://doi.org/10.1055/s-0029-1224608 |
| رقم الأكسشن: | edsair.doi...........1ffeef533af0791fea4502abc8e3103d |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14389592 0044409X |
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