{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,10,26]],"date-time":"2024-10-26T04:19:34Z","timestamp":1729916374648,"version":"3.28.0"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,12,15]],"date-time":"2019-12-15T00:00:00Z","timestamp":1576368000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare the surgical outcomes of para\u2010aortic lymphadenectomy up to the level of inferior mesenteric artery (<jats:styled-content style=\"fixed-case\">IMA<\/jats:styled-content>) and renal vessels in women with stage <jats:styled-content style=\"fixed-case\">IIIC<\/jats:styled-content> epithelial ovarian cancer after primary optimal cytoreductive surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In a retrospective study at Peking University People's Hospital, Beijing, China, undertaken between January 1, 2001, and December 31, 2015, patients were classified into two groups based on the level of the para\u2010aortic lymphadenectomy at either <jats:styled-content style=\"fixed-case\">IMA<\/jats:styled-content> (group A) or renal vessels (group B). Progression\u2010free survival (<jats:styled-content style=\"fixed-case\">PFS<\/jats:styled-content>) and overall survival were assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study involved 102 women (56 in group A and 46 in group B). The two groups were comparable regarding clinical characteristics, and there were no statistically significant differences in perioperative variables between the groups. 15.2% of patients (7\/46) had metastases at renal vessels level without metastases below <jats:styled-content style=\"fixed-case\">IMA<\/jats:styled-content>. Median <jats:styled-content style=\"fixed-case\">PFS<\/jats:styled-content> in group B was longer than group A (41\u00a0months vs 23\u00a0months, <jats:italic>P<\/jats:italic>=0.041) and 5\u2010year survival rate was greater in group B compared to group A (74.6% vs 48.2%, <jats:italic>P<\/jats:italic>=0.003). Median overall survival was longer in group B compared to group A (not reached vs 55\u00a0months, <jats:italic>P<\/jats:italic>=0.03).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Para\u2010aortic lymphadenectomy at the level of renal vessels was safe and could improve the prognosis of patients with advanced ovarian cancer who completed optimal cytoreduction.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.13061","type":"journal-article","created":{"date-parts":[[2019,11,20]],"date-time":"2019-11-20T12:35:32Z","timestamp":1574253332000},"page":"192-197","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Para\u2010aortic lymphadenectomy below inferior mesenteric artery versus renal vessels in stage <scp>IIIC<\/scp> epithelial ovarian cancer: A comparison of surgical outcomes"],"prefix":"10.1002","volume":"148","author":[{"given":"Chongyuan","family":"Zhu","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Peking University People's Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Honglan","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Peking University People's Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yue","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Peking University People's Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heng","family":"Cui","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Peking University People's Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Peking University People's Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,12,15]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21262"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2013.10.001"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-018-4675-y"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/1756-9966-31-14"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2018.02.006"},{"key":"e_1_2_7_7_1","unstructured":"NCCN Clinical Practice Guidelines in Epithelial Ovarian Cancer(2019Version 1) [DB\/OL].http:\/\/www.nccn.org. 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