The lymphorrhea is a problem that we fase in the early postoperative period in patients undergoino lymph node dissection (LND) for treatment of cervical cancer (CC).
Material and method: In a retrospective study of 2-year period (January 2001-December 2003). We covered totaly 129 cases with invasive CC. All patients in the study have undergone surgical remove of the uterus and adnexes but in a different volume, an extended hysterectomy was performed in 125 women, in 3 patients was carried out only supravaginal hysterectomy due to failure to remove the cervix, without direct life-threatening intraoperative complications, only in one case was performet LHT with adnexes because of severe co-morbidities of patients. We don't have cases in which LND was carried out in whatever type it is--a diagnostic or therapeutic. All women undergone LND in a different volume 123 cases pelvic LND/PLND/ and/or paraaortic LND/PALND/, selective LND in 3 patients, only PAND in 2 cases and biopsy of pelvic lymph node--only one case.
Aim and goals: Our aim is to present the role of lymphorrhea in the observed cases according the type of LND applied to treat invesiv CC. We set the following goals--To present the frequency of lymphorrhea in the early postoperative period in our patients treated for invasive CC, and the presence or absence of a link between the level of LND and the observed lymphorrhea.
Results: On the basis of the above data we can make the following conclusions: Lymphorrhea was recorded in 24 or 18.60% of the cases of our study. It is a complication that directly depends on the type of the performed LND. It is the second most common complication--24 women the undercoing PLND--11 (45.8%) and PLND+PALND--13 (54.2%).