ABSTRACT
PURPOSE: We performed an observational study over 5 years on patients with postoperative ascites who had undergone laparoscopic surgery in our hospital. METHODS: Patients with postoperative ascites of unknown origin were monitored in the hospital from July 2006 to June 2010. Clinical manifestations, biochemical analysis, and treatment are discussed in the study. RESULTS: Of 21,380 laparoscopic surgeries, 8 cases of postoperative ascites of unknown origin were identified in otherwise healthy women. None of the patients revealed any definitive causes even after an extensive diagnostic work-up and recovered uneventfully with general supportive treatments. CONCLUSIONS: Postoperative ascites of unknown origin are a rare complication of laparoscopic gynecologic surgery. We surmised that the most likely cause of the ascites is a diffuse peritoneal injury by some substances used during the operation, and supportive therapy is very important.
Subject(s)
Ascites/etiology , Genital Diseases, Female/surgery , Laparoscopy/adverse effects , Adult , Albumins/administration & dosage , Anti-Bacterial Agents/therapeutic use , Antibiotic Prophylaxis , Ascites/therapy , Drainage/methods , Female , Fluid Therapy/methods , Humans , Middle Aged , Young AdultABSTRACT
OBJECTIVE: To evaluate the clinical characteristics of pelvic lymph node metastases in patients with early-stage cervical carcinoma. METHODS: The clinical, pathologic and follow-up data of patients with cervical carcinoma treated at our hospital from June 2006 to May 2008 were collected and analyzed retrospectively. The relevant literature was reviewed. RESULTS: The median age at diagnosis was (45.6 ± 3.8) years old. Among these patients, 587 patients (92.3%) were of squamous cell cervical carcinoma while 49 patients (7.7%) cervical adenocarcinoma.But the differences of pelvic lymph node metastases were not significant(P > 0.05). The overall prevalence of lymph node metastasis was 10.9% (69/636). The rate of pelvic lymph node metastases became significantly high up from the clinical stage I(b1). When the pelvic nodes were positive, the obturator group was involved in 69 cases (69/120). CONCLUSION: There is an increased rate of pelvic lymph node metastasis in the patient groups of clinical stage I(b1)-II. And the obturator group is predominantly involved. Thus a routine pelvic lymphadenectomy is essential.
