{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T16:20:57Z","timestamp":1770740457709,"version":"3.49.0"},"reference-count":37,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2015,8,25]],"date-time":"2015-08-25T00:00:00Z","timestamp":1440460800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100012558","name":"Skane County Council's Research and Development Foundation","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100012558","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>This study was designed to evaluate the feasibility and lymphatic complications of robotic pelvic and infrarenal paraaortic lymphadenectomy in endometrial cancer patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>All patients diagnosed with high risk endometrial cancer during the study period were identified (<jats:italic>n\u00a0<\/jats:italic>=\u00a0212). Clinical prospective data, with reassessment of lymphatic complications, was analysed for all cases (<jats:italic>n\u00a0<\/jats:italic>=\u00a0140) planned for a complete robotic nodal staging. The outcome measures were: success rate of infrarenal paraaortic lymphadenectomy, the rate of lymphatic complications and factors associated with nodal yield.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 212 women, an open or restricted robotic procedure was performed in 57 women (27%) and no operation in 15 (7%), the latter due to disseminated disease or comorbidity. In 140 women (66%) in whom staging was intended, the lymphadenectomy included the infrarenal area in 70%, was restricted to the inframesenteric area in 21% and aborted or incomplete in 9%. The median number of paraaortic nodes was 10 (range 2\u201339). An unsuccessful staging was associated with high <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> and the surgeon's inexperience. At 1\u00a0year, three patients (2%) had developed a grade two lower limb lymphedema. Eleven women (8%) demonstrated pelvic lymphocysts; seven (64%) resolved spontaneously. Only one paraaortic lymphocyst was found; this required drainage. No cases of chylous ascites occurred.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>An infrarenal robotic paraaortic lymphadenectomy is feasible in 70% of high risk endometrial cancer cases when intended (88% in non\u2010obese patients operated by experienced surgeons), but is restricted in obese patients and by surgeon's inexperience.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.12712","type":"journal-article","created":{"date-parts":[[2015,7,28]],"date-time":"2015-07-28T14:33:07Z","timestamp":1438093987000},"page":"1074-1081","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Robotic infrarenal paraaortic and pelvic nodal staging for endometrial cancer: feasibility and lymphatic complications"],"prefix":"10.1111","volume":"94","author":[{"given":"Barbara","family":"Geppert","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Skane University Hospital Lund University Lund Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Persson","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Skane University Hospital Lund University Lund Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,8,25]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Swedish National Board of Health and Welfare Open statistical database for cancer data for endometrial cancer 2010\u20132013(accessed 3 February 2015). 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