Lymph node dissection is a surgical procedure in which the lymph nodes that contain cancer cells are removed, as well as other lymph nodes when there is a threat of the cancer spreading. Lymph node dissection is also called a lymphadenectomy.
Lymph node dissection
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Lymphadenectomy: what does it consist of?
Lymphadenectomy is used to prevent infection or the spread of cancer. One or more lymph nodes (lymphedema) are removed for one or more of the following medical reasons :
Cancerous tumors located in the lymph nodes
- Removal of one or more lymph nodes containing cancer to limit the spread of tumors to other parts of the body
- Reduce the risk of recurrence of cancerous tumors
- Resection of the lymph nodes containing melanoma that has spread only to the lymph nodes
- Swollen and abnormally enlarged lymph nodes
Type of lymph node dissection
5 types of lymph node curage differ according to the lymph nodes removed:
Inguinal curage: consists in the lymph node removal of the groin, that is to say, the area located in the hollow at the junction of the thigh and belly
- Axillary curage: also called axillary dissection or axillary lymphadenectomy: it is a surgical procedure that allows removing the lymph nodes of the axillary hollow (the armpits)
- Pelvic curage: called in particular pelvic lymphadenectomy, ilioinguinal lymphadenectomy, or deep inguinal curage. This is a surgical procedure performed to remove the lymph nodes from the pelvis
Indeed, the lymph nodes of the pelvis are based in the internal iliac artery, the external iliac artery, and the common iliac artery (the main blood vessel that irrigates the lower abdomen and trunk)
- Cervical curage: also called cervical lymph node or cervical lymphadenectomy, used to remove cervical lymph nodes located in the neck
- Retroperitoneal curage: or retroperitoneal lymphadenectomy, is a surgical procedure to remove the lymph nodes housed in the back of the abdomen (retroperitoneum) which are called retroperitoneal lymph nodes
How to do a lymph node dissection in Istanbul Turkey?
The surgery of lymph node dissection in Turkey is usually performed under complete anesthesia. As a general rule, in the operating room of a hospital, the surgeon cracks the skin and removes the lymph nodes and any nearby tissue that may contain cancer cells. The surgeon then inserts a small tube (drainage tube) and closes the incision with sutures or staples. It connects the drainage pocket to the end of the tube to collect the drained fluid from the area, thereby reducing the risk of fluid accumulation in the tissues and promoting healing. Leave the drain in place for a few weeks or until the flow becomes lighter or there is no more flow.
The course of the surgery: Costs & Reviews
The course of the surgery
The lymph nodes and all other tissues collected during the operation are sent to the laboratory for examination by a pathologist specialized in the cause and nature of the disease.
Depending on the type of lymph node dissection, you may need to be hospitalized for a day or more. While in hospital, you may receive antibiotics to prevent infections and medications to control your pain.
Your medical team will also tell you:
- How to treat the wound and put a dressing
- How to treat the drain bag and drain tube
- How many and what types of activities you can do after the operation
- How to reduce swelling
- What symptoms and side effects should you mention
You will have a follow-up appointment to meet the surgeon 1 to 2 weeks after the operation, during which he will assess the general condition of the patient and if the wound heals well.
Prices of lymph node treatment in Istanbul
Turquie Santé offers you the best treatment options for your lymph node treatment in our best clinics in Istanbul, Turkey. If you want to know more about the prices, you can ask for a free quote.
Side effects of lymph node surgery
After removal of the lymph nodes, some side effects may occur in some individuals. These complications occur during or immediately after the ablation process, after a period that can range from a few days to several weeks, or late, from months to years, such as:
The fluid pile in the area where the lymph nodes were removed
- Lymphedema: swelling of the area where the glands were removed
- Stiffness and pain in the area: Difficulty moving neck, shoulders, or hips if lymph nodes in groin, armpits, or neck removed
- After excision, the area may become infected, as there may be purulent secretions, swelling, and redness of the area, and fever
After excision, pain can occur with tingling or numbness in the area of the wound, and it begins to disappear as the wound heals and the skin on the wound begins to peel off.
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Lymph node dissection is generally indicated in the following situations:
- Cancer with known or suspected lymph node metastases: When there is evidence or suspicion that cancer has spread to regional lymph nodes.
- Cancer staging: Lymph node dissection may be performed to assess the cancer stage.
- Cancers at high risk of lymph node metastases: lymph node dissection may be recommended to assess the presence of metastases and guide treatment.
- Diagnostic evaluation: In some cases, lymph node sampling may be performed to obtain a sample of lymph nodes for histopathological analysis and to confirm the diagnosis of cancer or other conditions.
Several types of cancer may require lymph node dissection, depending on the tumor location and the risk of spread to the lymph nodes:
- Breast cancer
- Thyroid cancer
- Lung cancer
- Colorectal cancer
- Bladder cancer
Lymphadenectomy offers several advantages in cancer treatment. These include:
- Accurate assessment of the extent and spread of the disease
- Reduced risk of cancer recurrence
- Improved overall survival for affected patients
- Guiding adjuvant treatment (radiotherapy or chemotherapy)
Some people may experience mild to moderate pain after lymph node dissection, while others may experience more intense pain. It's important to communicate openly with your medical team before and after the procedure to discuss your concerns and receive advice on pain management.
The oncologist, the hematologist, and also the surgeon can treat lymph nodes and perform their dissection in the case of tumors.