Abstract

Aim: In this paper we evaluated the relationship between the number of the removed lymph nodes and postoperative morbidity during the lymphadecetomy in the early stage endometrium cancer. Material and Method: Seventy-two patients with the diagnosis of stage I-II endometrium cancer underwent radical hysterectomy + pelvic and paraaortic lymphadenectomy in Izmir Atatürk Training and Research Hospital, Department of Gynecology and Obstetric, between 01.04.2002- 31.04.2009. The clinical and the pathologic findings, immediate operative and postoperative records of the patients were reviewed. The mean follow-up time was fifty months. Findings: The analysis mainly focused on the comparison of the patients with 11 or fewer to more than 11 lymph nodes removed. The number of the patients who have had >11 nodes (Dissection group) removed and < 11 nodes (Sampling group) removed were more 37 (51,4%) and 35 (48,6%), respectively. There were no statistically significant differences between the groups in terms of recurrence and mortality. However, concomitant lymphatic dissection has resulted in longer anesthesia time and hospital stay, more blood loss as well as higher blood transfusion rates. Conclusion: Although the therapeutic efficacy of lymphatic dissection in the early stage endometrial cancer was the same with lymphatic sampling,the incidence of morbidity was much less in the sampling group.