The volume of postoperative drainage fluid as a potential early predictor of lymphedema after lymph node excision for metastatic melanoma
Beteiligte Einrichtungen
Abstract
Using descriptive statistics and regression analyses, we analyzed the cumulative volumes of postoperative drainage fluid for 836 melanoma patients with lymph node excision on the axilla or groin.
In multiple regression analyses, the well-established risk factors of LE, i.e., increased body mass index, older age, and ilioinguinal versus inguinal versus axillary dissection predicted a high drainage volume after CLND. Of note, a high drainage fluid volume after SLNB also predicted a high drainage volume after subsequent CLND. In patients with groin dissections, who are particularly susceptible to swellings, extended iliac dissection, age above 60, and a cumulative drainage volume of more than 100 ml in the preceding SLNB were predictors of the cumulative drainage volume.
Conclusion: Common risk factors predict the volume of postoperative drainage fluid after CLND and postoperative LE. High postoperative drainage volume may therefore function as a potential early predictor of LE following CLND.
Bibliografische Daten
Originalsprache | Englisch |
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ISSN | 0024-7766 |
Status | Veröffentlicht - 2017 |
PubMed | 30234248 |
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