{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T16:29:57Z","timestamp":1781108997164,"version":"3.54.1"},"reference-count":23,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,6,17]],"date-time":"2020-06-17T00:00:00Z","timestamp":1592352000000},"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":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare outcomes and prognosis among women with type I endometrial cancer undergoing hysterectomy and bilateral salpingo\u2010oophorectomy (H\u2010BSO) with or without systematic pelvic lymphadenectomy (PLD) or para\u2010aortic lymphadenectomy (PALD).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective review of women postoperatively diagnosed with type I endometrial cancer who underwent H\u2010BSO at a university hospital in Chengdu, China (January 2010 to June 2012). Women were divided into no lymphadenectomy (PLD\u2212\/PALD\u2212), systematic pelvic lymphadenectomy (PLD+\/PALD\u2212), or combined pelvic and para\u2010aortic lymphadenectomy (PLD+\/PALD+) groups. Follow\u2010up was by telephone. Postoperative outcomes and prognosis were compared and risk factors were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 333 women met the inclusion criteria: 121 underwent PLD+\/PALD\u2212, 166 underwent PLD+\/PALD+, and 46 underwent PLD\u2212\/PALD\u2212. There were no differences in pre\u2010operative characteristics among the groups (all <jats:italic>P<\/jats:italic>&gt;0.05). The PLD+\/PALD+ group had a higher laparotomy rate (<jats:italic>P<\/jats:italic>=0.001), the PLD\u2212\/PALD\u2212 group had shorter operation time (<jats:italic>P<\/jats:italic>=0.001) and lower blood loss (<jats:italic>P<\/jats:italic>&lt;0.001). There were no differences between the PLD+\/PALD\u2212 and PLD+\/PALD+ groups. Overall, 291 women had sufficient follow\u2010up data; there was no difference in overall survival, and PALD was not a predictor of survival.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Postoperative outcomes were similar among all surgical groups; a survival benefit of PALD was not demonstrated.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.13228","type":"journal-article","created":{"date-parts":[[2020,5,20]],"date-time":"2020-05-20T20:14:29Z","timestamp":1590005669000},"page":"163-168","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Para\u2010aortic lymphadenectomy did not improve overall survival among women with type I endometrial cancer"],"prefix":"10.1002","volume":"150","author":[{"given":"Lin","family":"Li","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University) Ministry of Education West China Second University Hospital Sichuan University Chengdu People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mingming","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University) Ministry of Education West China Second University Hospital Sichuan University Chengdu People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan","family":"Nie","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology The affiliated hospital of Southwest Medical University Luzhou People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinhai","family":"Gou","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University) Ministry of Education West China Second University Hospital Sichuan University Chengdu People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1995-9812","authenticated-orcid":false,"given":"Zhengyu","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University) Ministry of Education West China Second University Hospital Sichuan University Chengdu People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,6,17]]},"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":"10.3322\/caac.21254"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdt353"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/jjco\/hyv088"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21338"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0090-8258(83)90111-7"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrclinonc.2010.216"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(12)70213-9"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-200508000-00050"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)61766-3"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2007.06.009"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2009.02.012"},{"issue":"9","key":"e_1_2_7_14_1","first-page":"CD007585","article-title":"Lymphadenectomy for the management of endometrial cancer","author":"Frost JA","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdn113"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdq245"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1159\/000487047"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/IGC.0000000000000802"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2019.02.015"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2015.01.006"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12321"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/jog.12344"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2015.05.039"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-016-5731-0"}],"container-title":["International Journal of Gynecology &amp; 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