[Lymphorhoea--complication after lymph node dissection in cervical cancer]

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).

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.

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.

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%).