Complication of the laterally extended parametrectomy (LEP) procedure
Introduction: Since 1993 an operative technique without adjuvant therapy (laterally extended parametrectomy, the LEP procedure) has been in use at our institution for the treatment of stage IIB cervical cancer and patients with pelvic lymph node metastases in stages IAIIA. Iliac/femoral artery embol...
Elmentve itt :
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| Dokumentumtípus: | Könyv része |
| Megjelent: |
Szegedi Tudományegyetem Állam- és Jogtudományi Kar
Szeged
2012
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| Sorozat: | Ünnepi e-könyv : Herczeg János professzor 70. születésnapjára
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| Kulcsszavak: | Méhnyakrák - diagnosztika, Nőgyógyászat |
| Tárgyszavak: | |
| Online Access: | http://acta.bibl.u-szeged.hu/84681 |
| Tartalmi kivonat: | Introduction: Since 1993 an operative technique without adjuvant therapy (laterally extended parametrectomy, the LEP procedure) has been in use at our institution for the treatment of stage IIB cervical cancer and patients with pelvic lymph node metastases in stages IAIIA. Iliac/femoral artery embolic occlusion in the cohort of LEP operated patients was studied in an 11 years long period. Methods: LEP-Wertheim procedure was used in 320 patients between 1994 and 2005. Embolic occlusion of the iliac and/or femoral arteries was detected in 4 out of 255 (1.6%) cases. Thrombectomy on one blood vessel in 3 cases, on both deep and superficial femoral arteries in 1 case were executed to restore the vessel patency. Results: 3 out of 4 patients following external iliac/femoral artery emboli removal healed up without any arterial occlusion related symptoms. In one case preventive fasciotomy was needed to treat tumescence of the legs. This patient developed transient peroneus palsy, which necessitated the use of a plantar support for one month and physiotherapy for one year for gait rehabilitation. Conclusions: Embolus occlusion of the iliac/femoral artery during LEP/Wertheim procedure was observed in 1.6% of cases. This complication was not reported in the literature before in relation to radical surgery in cervical cancer. Operating teams using LEP operations, should be aware of that risk, and should be prepared for treatment. |
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| Terjedelem/Fizikai jellemzők: | 202-207 |
| ISBN: | 978 963 306 154 1 |