The Effect of Nonperitonization and Laparoscopic Lymphadenectomy for Minimizing the Incidence of Lymphocyst Formation After Radical Hysterectomy for Cervical Cancer

Abstract

The omission of peritonization and laparoscopic lymphadenectomy using bipolar electrocautery in early-stage cervical cancer were more effective than peritonization and open lymphadenectomy using monopolar electrocautery in minimizing the incidence of lymphocyst formation.

Modified posterior pelvic exenteration for advanced ovarian malignancies: a single-institution study of 35 cases

“…The occurrence of lymphocele in our cohort was always associated with systemic pelvic and lumbo‐aortic lymphadenectomy, which is in line with current literature . The different approaches to the prophylaxis of lymphoceles (careful hemostasis and lymphostasis using coagulation and clips, application of hemostatic preparations, opened peritoneum after lymphadenectomy) have so far exhibited inconclusive outcomes . Although the observational approach is applicable in cases of asymptomatic lymphocele, the mini‐invasive approach is preferred when intervention is necessary (drainage under sonographic or CT guidance) .…”

Prevention of lymphocele in female pelvic lymphadenectomy by a collagen patch coated with the human coagulation factors: A pilot study

“…In the majority of cases this will lead to successful resolution, as in the present series. However, regression may be a slow process; occurring over several months [18].…”

“…TachoSil applied in the right obturator fossa, achieves hemostasis, and sealing effectively within 3-5 min, since into contact with leaking tissue, the dry coating dissolves, releasing the coagulation factors fibrinogen and thrombin to initiate the final steps in the blood coagulation process.We removed 15.9 AE 1.8 (range[15][16][17][18][19][20] lymph nodes in patients in group 1 and 16.2 AE 1.3 (range 15-21) lymph nodes in patients in group 2, with no statistically relevant difference.…”

Lymphocele and Ovarian Cancer: Risk Factors and Impact on Survival

“…The risk factors for lymphocele development are unclear [12][13][14]. They may include the extent of the lymphadenectomy, the number of lymph nodes removed, the presence of metastases to the lymph nodes, body mass index (BMI), and the use of drainage.…”