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Table 2 Clinical feature of the patients at vaginectomy

From: Resection of the vaginal vault for vaginal recurrence of cervical cancer after hysterectomy and brachytherapy

 

Case 1

Case 2

Case 3

Case 4

Case 5

Case 6

Case 7

Case 8

Age

70

36

48

44

35

36

46

54

Operative time (min), for vaginectomy

180

590

219

172

270

316

191

442

Blood loss, mL

250

1,890

49

150

365

490

360

760

Intraoperative complications

Rectal injury G1

None

Bladder injury G1

None

None

None

None

None

Postoperative complications

Cystitis

Vesicovaginal fistula (POD33)

Vesicovaginal fistula (POD40), ileus, nephritis

None

None

Nephritis

Vesicovaginal fistula (POD19), nephritis

Stump bleeding

Self-catheterization

No

No

No

No

+

No

No

+

Margin of resection

Positive

Positive

Unclear

Positive

Negative

Positive

Negative

Negative

Site of recurrence after colpectomy

PLN

Pelvic wall

Vulva

No

No

PAN

No

Vulva PLN

Treatment for recurrence after colpectomy

Radiation

Exenteration

Vulvectomy

  

Chemotherapy

 

Vulvectomy + lymphadenectomy

Time to recurrence from colpectomy

10 M

2 M

6 M

  

22 M

 

19 M

Final status

AWD

DOD

AWD

NED

NED

AWD

NED

AWD

  1. POD, postoperative day; PLN, pelvic lymph node; PAN, para-aortic lymph node; AWD, alive with disease; DOD, dead of disease; NED, no evidence of disease.