{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:07:18Z","timestamp":1787065638000,"version":"build-2736575974"},"reference-count":17,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Lymphatic Research and Biology"],"published-print":{"date-parts":[[2025,4,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>To assess the impact of the lymph node dissection (LND) technique on short- and long-term complications. This retrospective review included patients who underwent hysterectomy, oophorectomy, and pelvic \u00b1 para-aortic LND for gynecological malignancies (cervical, endometrial, and ovarian) from 2020 to 2022 in our Gynecological Oncology Surgery clinic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Results:<\/jats:title>\n                    <jats:p>\n                      Among 147 patients who underwent pelvic LND for gynecological malignancy, 48 had procedures involving scissors and 99 had procedures involving unipolar cautery. There was no significant difference in the numbers of extracted pelvic and para-aortic lymph nodes between groups. The extents of LND were comparable between the scissors and unipolar cautery groups (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.945). The scissors group exhibited less fluid drainage between days 2 and 5 postoperatively (1300 [600\u20133100] vs 1800 [600\u20133400];\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.038). In terms of primary early and late clinical outcomes, there were no significant differences in lymphocele (16.7% vs 15.2%;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.494) and lymphedema (18.8% vs 17.2%;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.491) rates between groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>After retroperitoneal LND for gynecological malignancy, early complications such as lymphocele and late complications such as lower extremity lymphedema did not significantly differ between procedures using cold scissors and procedures using unipolar cautery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lrb.2024.0084","type":"journal-article","created":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T04:13:16Z","timestamp":1730088796000},"page":"101-106","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Incidence of Lymphedema and Other Complications in Patients Operated on for Gynecological Cancer Including Utilization of Two Lymph Node Dissection Techniques"],"prefix":"10.1177","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0779-8305","authenticated-orcid":false,"given":"Varol","family":"G\u00fclseren","sequence":"first","affiliation":[{"name":"Division of Gynecologic Oncology, Faculty of Medicine, Department of Obstetrics and Gynecology, Erciyes University, Kayseri, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet","family":"Dolanbay","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Obstetrics and Gynecology, Erciyes University, Kayseri, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u0130sa Aykut","family":"\u00d6zdemir","sequence":"additional","affiliation":[{"name":"Division of Gynecologic Oncology, Faculty of Medicine, Department of Obstetrics and Gynecology, Medipol University, \u0130stanbul, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fulya","family":"\u00c7a\u011fl\u0131","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Obstetrics and Gynecology, Erciyes University, Kayseri, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ertu\u011frul","family":"\u015een","sequence":"additional","affiliation":[{"name":"Division of Gynecologic Oncology, Faculty of Medicine, Department of Obstetrics and Gynecology, Erciyes University, Kayseri, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B\u00fclent","family":"\u00d6z\u00e7elik","sequence":"additional","affiliation":[{"name":"Division of Gynecologic Oncology, Faculty of Medicine, Department of Obstetrics and Gynecology, Erciyes University, Kayseri, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u0130brahim Serdar","family":"Serin","sequence":"additional","affiliation":[{"name":"Division of Gynecologic Oncology, Faculty of Medicine, Department of Obstetrics and Gynecology, Erciyes University, Kayseri, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kemal","family":"G\u00fcng\u00f6rd\u00fck","sequence":"additional","affiliation":[{"name":"Division of Gynecologic Oncology, Faculty of Medicine, Department of Obstetrics and Gynecology, S\u0131tk\u0131 Ko\u00e7man University, Mu\u011fla, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,4,10]]},"reference":[{"key":"e_1_3_4_2_2","unstructured":"National Comprehensive Cancer Network. Uterine neoplasms. 2023."},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0041-110804"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2010.06.053"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2015.07.003"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/ijgc-2019-001032"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.3802\/jgo.2016.27.e44"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2015.09.007"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2017.12.017"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare7030101"},{"key":"e_1_3_4_11_2","first-page":"170","article-title":"The diagnosis and treatment of peripheral lymphedema: 2016 consensus document of the International Society of Lymphology","volume":"49","author":"Executive Committee","year":"2016","unstructured":"Executive Committee. The diagnosis and treatment of peripheral lymphedema: 2016 consensus document of the International Society of Lymphology. Lymphology, 2016; 49:170\u2013184.","journal-title":"Lymphology"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/IGC.0000000000001093"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/IGC.0b013e318233f24b"},{"key":"e_1_3_4_14_2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2017\/3086857","article-title":"Effectiveness of fibrin sealant patch in reducing drain volume after pelvic lymph node dissection in women with gynecologic malignancy","volume":"2017","author":"Kim HC","year":"2017","unstructured":"Kim HC, , Choi C, , Kim WY. Effectiveness of fibrin sealant patch in reducing drain volume after pelvic lymph node dissection in women with gynecologic malignancy. Biomed Res Int, 2017; 2017:1\u20136.","journal-title":"Biomed Res Int"},{"issue":"11","key":"e_1_3_4_15_2","first-page":"1193","article-title":"Influences of lymphatic vessel ligation in pelvic lymphadenectomy on postoperative lymphocyst formation\u2013a randomized controlled trial","volume":"28","author":"Lu HW","year":"2009","unstructured":"Lu HW, , Zhou H, , Peng YP, et al. Influences of lymphatic vessel ligation in pelvic lymphadenectomy on postoperative lymphocyst formation\u2013a randomized controlled trial. Ai Zheng, 2009; 28(11):1193\u20131197. Chinese.","journal-title":"Ai Zheng"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2019.09.027"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2014.11.006"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2019.10.009"}],"container-title":["Lymphatic Research and Biology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/lrb.2024.0084","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lrb.2024.0084","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lrb.2024.0084","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T20:15:36Z","timestamp":1777666536000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/lrb.2024.0084"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,1]]},"references-count":17,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,4,1]]}},"alternative-id":["10.1089\/lrb.2024.0084"],"URL":"https:\/\/doi.org\/10.1089\/lrb.2024.0084","relation":{},"ISSN":["1539-6851","1557-8585"],"issn-type":[{"value":"1539-6851","type":"print"},{"value":"1557-8585","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,1]]}}}