Short-term morbidity in transdiaphragmatic cardiophrenic lymph node resection for advanced stage gynecologic cancer

C. J. Lafargue, B. T. Sawyer, R. E. Bristow

Research output: Contribution to journalArticlepeer-review

Abstract

Ovarian cancer is commonly diagnosed at an advanced stage, with disease involving the upper abdomen. The finding of enlarged cardiophrenic lymph nodes (CPLNs) on pre-operative imaging often indicates the presence of malignant spread to the mediastinum. Surgical resection of CPLN through a transdiaphragmatic approach can help to achieve cytoreduction to no gross residual. A retrospective chart review was conducted on all patients who underwent transdiaphragmatic cardiophrenic lymph node resection from 8/1/11 through 2/1/15. All relevant pre-, intra-, and post-operative characteristics and findings were recorded. A brief description of the surgical technique is included for reference. Eleven patients were identified who had undergone transdiaphragmatic resection of cardiophrenic lymph nodes. Malignancy was identified in 18/21 (86%) of total lymph nodes submitted. The median number of post-operative days was 7. The overall post-operative morbidity associated with CPLN resection was low, with the most common finding being a small pleural effusion present on chest x-ray between POD# 3-5 (55%). Transdiaphragmatic CPLN resection is a feasible procedure with relatively minor short-term post-operative morbidities that can be used to achieve cytoreduction to no gross residual disease.

Original languageEnglish (US)
Pages (from-to)33-37
Number of pages5
JournalGynecologic Oncology Reports
Volume17
DOIs
StatePublished - Aug 1 2016

Keywords

  • Cardiophrenic lymph nodes
  • Cytoreductive surgery
  • Diaphragm resection
  • Ovarian cancer
  • Post-operative morbidity

ASJC Scopus subject areas

  • Oncology
  • Obstetrics and Gynecology

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