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Outcomes were pooled using an inverse variance weighted random effects model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main results<\/jats:title><jats:p>Sixteen studies were included. In 278 women with mucinous ovarian cancer suspected to be stage I\u2013<jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>, a pooled proportion of 0.8% (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> &lt;0.1\u20132.9%) had lymph node metastases and were upstaged. In those suspected of stage I (<jats:italic>n<\/jats:italic> = 184), this proportion was 0.7% (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> &lt;0.1\u20133.8%). No difference (<jats:italic>P =<\/jats:italic> 0.287) was found in metastases between sampling at 0.0% (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.0\u20133.3%) and complete pelvic and\/or para\u2010aortic lymph node dissection at 1.2% (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> &lt;0.1\u20134.2%). One study directly compared the survival of patients staged with and without lymph node dissection and reported no significant difference.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Surgical lymph node assessment in women suspected of stage I\u2013<jats:styled-content style=\"fixed-case\">II<\/jats:styled-content> mucinous ovarian carcinoma rarely identifies nodal metastases and consequently has no significant impact on staging.<\/jats:p><\/jats:sec><jats:sec><jats:title>Tweetable abstract<\/jats:title><jats:p>Surgical lymph node assessment in women with stage I\u2013<jats:styled-content style=\"fixed-case\">II<\/jats:styled-content> mucinous ovarian cancer rarely has staging consequences.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.14226","type":"journal-article","created":{"date-parts":[[2016,7,22]],"date-time":"2016-07-22T10:08:42Z","timestamp":1469182122000},"page":"370-378","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Surgical lymph node assessment in mucinous ovarian carcinoma staging: a systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"124","author":[{"given":"JP","family":"Hoogendam","sequence":"first","affiliation":[{"name":"Department of Gynaecological Oncology UMC Utrecht Cancer Centre Utrecht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"CA","family":"Vlek","sequence":"additional","affiliation":[{"name":"Department of Gynaecological Oncology UMC Utrecht Cancer Centre Utrecht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"PO","family":"Witteveen","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology UMC Utrecht Cancer Centre Utrecht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"RHM","family":"Verheijen","sequence":"additional","affiliation":[{"name":"Department of Gynaecological Oncology UMC Utrecht Cancer Centre Utrecht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"RP","family":"Zweemer","sequence":"additional","affiliation":[{"name":"Department of Gynaecological Oncology UMC Utrecht Cancer Centre Utrecht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,7,22]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2014.02.016"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.20107"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/PAT.0b013e328348a6e7"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/IGC.0000000000000296"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(06)60033-7"},{"key":"e_1_2_6_7_1","unstructured":"NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines\u00ae).Ovarian Cancer Including Fallopian Tube Cancer and Primary peritoneal Cancer. 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