caa a22 4500 605491070 CHVBK 20210128100508.0 cr unu---uuuuu 210128e20150601xx s 000 0 eng 10.1007/s10147-014-0724-0 doi (NATIONALLICENCE)springer-10.1007/s10147-014-0724-0 Incidence and risk factors for lower limb lymphedema after gynecologic cancer surgery with initiation of periodic complex decongestive physiotherapy [Elektronische Daten] [Imari Deura, Muneaki Shimada, Keiko Hirashita, Maki Sugimura, Seiya Sato, Shinya Sato, Tetsuro Oishi, Hiroaki Itamochi, Tasuku Harada, Junzo Kigawa] Abstract : Background: Lower limb lymphedema (LLL) is one of the most frequent postoperative complications of retroperitoneal lymphadenectomy for gynecologic cancer. LLL often impairs quality of life, activities of daily living, sleep, and sex in patients with gynecologic cancer. We conducted this study to evaluate the incidence and risk factors for LLL after gynecologic cancer surgery in patients who received assessment and periodic complex decongestive physiotherapy (CDP). Methods: We retrospectively reviewed 126 cases of gynecologic cancer that underwent surgery involving retroperitoneal lymphadenectomy at Tottori University Hospital between 2009 and 2012. All patients received physical examinations to detect LLL and underwent CDP by nurse specialists within several months after surgery. The International Society of Lymphology staging of lymphedema severity was used as the diagnostic criteria. Results: Of 126 patients, 57 (45.2%) had LLL, comprising 45 and 12 patients with stage 1 and stage 2 LLL, respectively. No patient had stage 3 LLL. LLL was present in 37 (29.4%) patients at the initial physical examination. Multivariate analysis revealed that adjuvant concurrent chemoradiotherapy and age ≥55years were independent risk factors for ≥stage 2 LLL. Conclusions: To minimize the incidence of ≥stage 2 LLL, gynecologic oncologists should be vigilant for this condition in patients who are ≥55years and in those who undergo adjuvant chemoradiotherapy. Patients should be advised to have a physical assessment for LLL and to receive education about CDP immediately after surgery involving retroperitoneal lymphadenectomy for gynecologic cancer. Japan Society of Clinical Oncology, 2014 Lower limb lymphedema nationallicence Gynecologic cancer nationallicence Lymphadenectomy nationallicence Complex decongestive physiotherapy nationallicence Deura Imari Department of Obstetrics and Gynecology, Tottori University School of Medicine, 36-1 Nishimachi, 683-8504, Yonago, Japan aut Shimada Muneaki Department of Obstetrics and Gynecology, Tottori University School of Medicine, 36-1 Nishimachi, 683-8504, Yonago, Japan aut Hirashita Keiko Department of Nursing, Tottori University Hospital, 36-1 Nishimachi, 683-8504, Yonago, Japan aut Sugimura Maki Department of Nursing, Tottori University Hospital, 36-1 Nishimachi, 683-8504, Yonago, Japan aut Sato Seiya Department of Obstetrics and Gynecology, Tottori University School of Medicine, 36-1 Nishimachi, 683-8504, Yonago, Japan aut Sato Shinya Department of Obstetrics and Gynecology, Tottori University School of Medicine, 36-1 Nishimachi, 683-8504, Yonago, Japan aut Oishi Tetsuro Department of Obstetrics and Gynecology, Tottori University School of Medicine, 36-1 Nishimachi, 683-8504, Yonago, Japan aut Itamochi Hiroaki Department of Obstetrics and Gynecology, Tottori University School of Medicine, 36-1 Nishimachi, 683-8504, Yonago, Japan aut Harada Tasuku Department of Obstetrics and Gynecology, Tottori University School of Medicine, 36-1 Nishimachi, 683-8504, Yonago, Japan aut Kigawa Junzo Matsue City Hospital, 32-1 Noshiro-cho, 690-8508, Matsue, Japan aut International Journal of Clinical Oncology Springer Japan 20/3(2015-06-01), 556-560 1341-9625 20:3<556 2015 20 10147 https://doi.org/10.1007/s10147-014-0724-0 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10147-014-0724-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Deura Imari Department of Obstetrics and Gynecology, Tottori University School of Medicine, 36-1 Nishimachi, 683-8504, Yonago, Japan aut NATIONALLICENCE 700 1- Shimada Muneaki Department of Obstetrics and Gynecology, Tottori University School of Medicine, 36-1 Nishimachi, 683-8504, Yonago, Japan aut NATIONALLICENCE 700 1- Hirashita Keiko Department of Nursing, Tottori University Hospital, 36-1 Nishimachi, 683-8504, Yonago, Japan aut NATIONALLICENCE 700 1- Sugimura Maki Department of Nursing, Tottori University Hospital, 36-1 Nishimachi, 683-8504, Yonago, Japan aut NATIONALLICENCE 700 1- Sato Seiya Department of Obstetrics and Gynecology, Tottori University School of Medicine, 36-1 Nishimachi, 683-8504, Yonago, Japan aut NATIONALLICENCE 700 1- Sato Shinya Department of Obstetrics and Gynecology, Tottori University School of Medicine, 36-1 Nishimachi, 683-8504, Yonago, Japan aut NATIONALLICENCE 700 1- Oishi Tetsuro Department of Obstetrics and Gynecology, Tottori University School of Medicine, 36-1 Nishimachi, 683-8504, Yonago, Japan aut NATIONALLICENCE 700 1- Itamochi Hiroaki Department of Obstetrics and Gynecology, Tottori University School of Medicine, 36-1 Nishimachi, 683-8504, Yonago, Japan aut NATIONALLICENCE 700 1- Harada Tasuku Department of Obstetrics and Gynecology, Tottori University School of Medicine, 36-1 Nishimachi, 683-8504, Yonago, Japan aut NATIONALLICENCE 700 1- Kigawa Junzo Matsue City Hospital, 32-1 Noshiro-cho, 690-8508, Matsue, Japan aut NATIONALLICENCE 773 0- International Journal of Clinical Oncology Springer Japan 20/3(2015-06-01), 556-560 1341-9625 20:3<556 2015 20 10147