Limiting the morbidity of inguinofemoral lymphadenectomy in vulvar cancer patients; a review

作者：Pouwer Anne Floor W^*; Arts Henriette J; van der Velden Jacobus; de Hullu Joanne A

来源：Expert Review of Anticancer Therapy, 2017, 17(7): 615-624.

DOI：10.1080/14737140.2017.1337513

• Inguinofemoral lymphadenectomy
• lymph node excision
• morbidity
• postoperative complications
• vulvar cancer
• vulvar neoplasm

Introduction: Inguinofemoral lymphadenectomy (IFL) is performed in the treatment for vulvar cancer. One or more complications after IFL is reported in up to 85% of the patients. This review presents an overview of surgical techniques and peri- and post-operative care that has been studied in order to reduce the morbidity associated with IFL in vulvar cancer patients.Areas covered: Current knowledge on post-operative complications after different surgical techniques and peri- and post-operative protocols were discussed. A systematic literature review was conducted using MEDLINE, EMBASE and the Cochrane library on 20 February 2017. In order to be eligible for inclusion, studies must report the associated post-operative morbidity per surgical technique, or peri- or post-operative care given after IFL in vulvar cancer patients.Expert commentary: After the implementation of several new surgical techniques, the morbidity after IFL decreased but remains high and clinically meaningful. More research is needed on surgical techniques and peri-or post-operative care to further reduce the complication rates after IFL in vulvar cancer patients.

• 出版日期2017