[Complications and results of peri-aortocoval lymphadenectomy in gynecology]

Periaortocaval lymphadenectomy has a low morbidity and mortality rate. The extent of affiliated procedures like radical hysterectomy and the general risk pattern of the individual patient determines the morbidity and mortality of the whole procedure. The necessary extent of periaortocaval lymphadenectomy can be derived from anatomic autoptic and histologic studies. The resection of 20 +/- 5 lymphatic notes can be achieved safely. This number can be regarded as a quality standard. The diagnostic impact on prognosis and therapy is well established while the therapeutic value of periaortocaval lymphadenectomy remains to be evaluated.