Table 2:
Postoperative complication rates, stratified by degree of lymphadenectomy in patients who underwent total laparoscopic hysterectomy for endometrial cancer
| No lymphadenectomy (N=2,049) | Lymphadenectomy (N=1,089) | Sentinel lymphadenectomy (N=144) | p | |
|---|---|---|---|---|
| Major complication composite | 42 (2.0) | 39 (3.6) | 3 (2.1) | 0.03 |
| Cardiac arrest | 2 (0.1) | 0 (0.0) | 0 (0.0) | 0.56 |
| Myocardial infarction | 4 (0.2) | 1 (0.1) | 0 (0.0) | 0.69 |
| Stroke/CVA | 4 (0.2) | 1 (0.1) | 0 (0.0) | 0.69 |
| Renal Failure | 2 (0.1) | 1 (0.1) | 0 (0.0) | 0.93 |
| VTE | 7 (0.3) | 12 (1.1) | 3 (2.1) | 0.005 |
| DVT | 2 (0.1) | 6 (0.6) | 0 (0.0) | 0.04 |
| PE | 5 (0.2) | 8 (0.7) | 3 (2.1) | 0.003 |
| Shock | 4 (0.2) | 3 (0.3) | 0 (0.0) | 0.76 |
| Sepsis | 10 (0.5) | 6 (0.6) | 0 (0.0) | 0.67 |
| Intestinal obstruction | 6 (0.3) | 8 (0.7) | 0 (0.0) | 0.14 |
| Ureteral obstruction | 0 (0.0) | 1 (0.1) | 0 (0.0) | 0.37 |
| Deep organ SSI | 21(1.0) | 20 (1.8) | 1 (0.7) | 0.13 |
| Re-intubation | 8 (0.4) | 3 (0.3) | 0 (0.0) | 0.67 |
| >48hr Ventilated | 5 (0.2) | 3 (0.3) | 0 (0.0) | 0.82 |
| Any complication composite | 134 (6.5) | 78 (7.2) | 7 (4.9) | 0.53 |
| Blood transfusion | 23 (1.1) | 16 (1.5) | 0 (0.0) | 0.28 |
| Prolonged post operative NPO or NGT use | 12 (0.6) | 8 (0.7) | 0 (0.0) | 0.55 |
| UTI | 49 (2.4) | 18 (1.7) | 1 (0.7) | 0.19 |
| Wound Disruption | 3 (0.1) | 1 (0.1) | 0 (0.0) | 0.84 |
| C Diff | 1 (0.0) | 1 (0.1) | 0 (0.0) | 0.90 |
| Renal insufficiency | 4 (0.2) | 4 (0.4) | 0 (0.0) | 0.54 |
| Pneumonia | 5 (0.2) | 2 (0.2) | 1 (0.7) | 0.51 |
| Superficial SSI | 17 (0.8) | 6 (0.6) | 2 (1.4) | 0.47 |
| Deep SSI | 4 (0.2) | 1 (0.1) | 0 (0.0) | 0.69 |
| Readmission | 46 (2.2) | 50 (4.6) | 2 (1.4) | <0.001 |
| Return to OR | 12 (0.6) | 6 (0.6) | 0 (0.0) | 0.66 |
All data is presented as n (%) for categorical variables. Because complications are not mutually exclusive n (%) columns may not add up to the composite rate. CVA – cerebrovascular accident; VTE – venous thromboembolism DVT – deep venous thrombosis; PE – pulmonary embolus; SSI – surgical site infection; NPO – nil per os; NGT – nasogastric tube; UTI – urinary tract infection; C Diff – clostridium difficile; OR – operating room