Complications in lymph node excision in the head and neck area.
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| Title: | Complications in lymph node excision in the head and neck area. |
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| Authors: | Rehell, Minna (AUTHOR), Atula, Timo (AUTHOR), Tapiovaara, Laura K. (AUTHOR), Bäck, Leif J. J. (AUTHOR), Koskinen, Anni I. M. (AUTHOR), Ruohoalho, Johanna (AUTHOR), Aro, Katri L. S. (AUTHOR) |
| Source: | Acta Oto-Laryngologica. Sep-Dec2022, Vol. 142 Issue 9-12, p738-742. 5p. |
| Subjects: | Preoperative care, Surgical complications, Head, Descriptive statistics, Neck, Needle biopsy |
| Abstract (English): | Although needle biopsy is widely used in work-up of lymphadenopathy, lymph node excision (LNE) is often required especially in lymphoma diagnostics. LNE is an invasive procedure, which carries a potential risk of complications. However, comprehensive studies evaluating the spectrum and occurrence of complications are lacking. This study addresses the role of preoperative needle biopsies in patients who underwent LNE. Furthermore, surgical complications related to LNE are analyzed. Altogether 321 patients, who underwent LNE in two-year period in 2018–19, and fulfilled our study criteria, were included. Patients' data were retrieved from the electronic patient records. The surgical complication rate was 5.9%. Most of the complications (n = 16; 84.2%) were categorized as minor (I-II) according to the Clavien–Dindo scale. The remaining three (15.8%), all hemorrhages, were categorized as major complications and required intervention. Preoperative needle biopsy might have avoided the need for LNE in some patients, which we discuss in this study. Surgical complications after LNE in the head and neck area are rare and mostly minor. Needle biopsy is often recommended preoperatively to avoid unnecessary operations and to refrain performing LNE for patients with non-lymphatic malignancy. [ABSTRACT FROM AUTHOR] |
| Abstract (Chinese): | 背景：虽然针刺活检广泛用于淋巴结病的检查, 但淋巴结通常需要切除 (LNE), 尤其是在淋巴瘤诊断中。 LNE 是一种侵入性手术, 存在着潜在的并发症风险。然而, 评估并发症谱和发生率的综合研究还不够。 目的：本研究探讨了术前穿刺活检对于接受 LNE 的患者的作用。此外, 分析了与 LNE 相关的手术并发症。 材料和方法： 纳入2018-19 两年期间接受 LNE, 并满足我们的研究标准的 321 名患者。患者数据来自电子病历。 结果：手术并发症发生率为5.9%。根据 Clavien-Dindo 量表, 大多数并发症（n = 16；84.2%）被归类为轻微（I-II）。其余三个（15.8％）, 都是出血, 被归类为主要并发症并需要干预。术前针刺活检可能避免了某些患者需要接受 LNE 。我们在本研究中对此进行了讨论。 结论及意义：头颈部LNE术后并发症少见而且大多是次要的。通常建议在术前进行针刺活检, 以避免不必要的手术, 并防止对非淋巴恶性肿瘤患者进行 LNE。 [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Although needle biopsy is widely used in work-up of lymphadenopathy, lymph node excision (LNE) is often required especially in lymphoma diagnostics. LNE is an invasive procedure, which carries a potential risk of complications. However, comprehensive studies evaluating the spectrum and occurrence of complications are lacking. This study addresses the role of preoperative needle biopsies in patients who underwent LNE. Furthermore, surgical complications related to LNE are analyzed. Altogether 321 patients, who underwent LNE in two-year period in 2018–19, and fulfilled our study criteria, were included. Patients' data were retrieved from the electronic patient records. The surgical complication rate was 5.9%. Most of the complications (n = 16; 84.2%) were categorized as minor (I-II) according to the Clavien–Dindo scale. The remaining three (15.8%), all hemorrhages, were categorized as major complications and required intervention. Preoperative needle biopsy might have avoided the need for LNE in some patients, which we discuss in this study. Surgical complications after LNE in the head and neck area are rare and mostly minor. Needle biopsy is often recommended preoperatively to avoid unnecessary operations and to refrain performing LNE for patients with non-lymphatic malignancy. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 00016489 |
| DOI: | 10.1080/00016489.2022.2115551 |
