KCI등재
SCOPUS
자궁경암 근치수술 후 발생하는 이환율 및 합병증에 관한 고찰 = Carcinoma of Uterine Cervix : Morbidity and Complications of Radical Hyterectomy with Pelvic Lymphadenectomy -A review of 92 patients-
저자
발행기관
학술지명
Obstetrics & Gynecology Science(Obstetrics & Gynecology Science)
권호사항
발행연도
1980
작성언어
-KDC
500
등재정보
KCI등재,SCOPUS,ESCI
자료형태
학술저널
발행기관 URL
수록면
195-206(12쪽)
제공처
Carcinoma of the cervix is the most the mostcommon malignancy occurring in the female genital tract. There is still much controversy whether the patients with stage I or II carcinoma of the xervix should be treated by irradiation,primary operation or a combination. But the radical hysterectomy represents one of the accepted and eddential methods of treatment. We used to have this in selected patients with carcinoma of the cervix from 1972 to 1978. During 7 years. 140 patients were operated upon and 113 of these (80.7%) have been viewed and analyzed. This paper reviewed especially with the morbidity and complications after 92 radical hysterectomy with pelvic lymphadenectomy. The results were as follows: 1)The age distribution among the 113 patients ranged from 26 to 67 years,most commonly at 30-39 years in carcinoma in situ and 40-49 years in invasive carcinoma. The mean age of the patients with uterine cervical carcinoma was 37.8 years in cases of carcinoma in situ and 47.3 years in cases of invasive carcinoma. 2)The age of marriage among 113 patients was most commonly between 16to 18 years (38.9%) 3)The most common gravity was 5-8 times, 50(44.2%) in cases of 113 cervical cancer. 4)Distributing the histological type, squamous cell carcinoma compromised 106 cases (93.8%), while adenocarcinoma occurred in 7 cases (6.2%) 5)Out of 15 cases of the stage 0 patients, 13 cases were treated with extended total gysterectomy, 2cases with total hysterectomy and 1case with conization. 92 patients (81.4%) of stage I and II were treated with radical hysterectomy and prlvic lymphadenectomy. 6)Clinical stage in 92 radical hysterectomy with lymphadenectomy were 9 in stage I , 43 in stage I , 37 in stage II and 3 in stage II . 7)There were 42 cases of additional medical condition of which 12 cases(13.0%) had anemia. Other conditions were 10 cases (10.9%) of hypertensive disease, 6cases (.65%) of pulmonart diseases and 6 cases (.65%) of uterine myoma. 8)Comparison between morbidity and number of transfusion given during operation had a significant relationship and considerinduration of operation and morbidity, there was also a significant relationship. The overall morbidity was 23 in 92 patients (25.0%). 9)The most frequent immediate complication was urinary tract infection (48.1%) and more than one third of the causatice organisms was E. coli> 2 patients (2.2%) died of pestoperative blleding on the day of operation and the first postoperation day respectively. 10)The most common delayed complication eas the urinary tract infection of 50 cases (54.2) and other complications were lymphocyst, intestinal obstruction and leg edema.lUrinary fistula developed in 5 patients (7.3%) following 92 consecutive redical hysterectomy (4cases in ureterovginal, and 1 case in vesicovaginal). Favorate time of fistula formation unrelated with surgical trauma was in the 2nd and 3rd weeks after operation. 11)All the excised lymph nodes were histologically examined and the incidence of regional lymph node metastases by clinical stage showed as follows. In stage I , lymph node infiltration was present in 11.1%, in stage I in 20.9%, in stage II in 32.4% and in stage II is 31.1%. The overall incidence of regional lymph node metastases was 26.1%. 12)Based on 34 cases who were available to follow up 5 years after operayion were studies and analyzed. 5 year survival rate by stage revealed 100% in stage 0, 80% in stage I, 55.6% in stage II, and 25.0% in more than stage III. Over all 5 year survival rate in cases of 34 patiests was 70.1%. 13)The incidence of resurrence after radical hysterectomy and pelvic lymphadenectomy was .76% and recurrent site were vaginal stump, pelvic cavity, lung and stomach in the order.
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