Should advanced age alone be considered a contraindication to systemic lymphadenectomy in gynecologic oncologic patients? A university hospital experience in Turkey

International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society
M GolO Erten

Abstract

In this case-control study, we aimed at analyzing the effect of pelvic and paraaortic lymphadenectomy on intraoperative and postoperative morbidity and mortality rates in a series of elderly patients (age >/= 65 years) with gynecologic malignancies. We examined preexisting medical conditions, surgical data, intraoperative and postoperative morbidity and mortality in 37 patients aged 65 years or older with endometrial and ovarian carcinoma who underwent pelvic and paraaortic lymphadenectomy. Control group consisted of patients between 60 and 64 years with similar malignancies. The number of patients with hypertension (P = 0.03), minor (P = 0.01) and major cardiac problems (P = 0.03), chronic obstructive lung disease (P = 0.02), and history of cerebrovascular disease (P = 0.04) were significantly higher in the study group than that in control. The median operative time was significantly shorter (160 min) in the study group than that (191 min) in control (P = 0.004). There were no significant differences between the groups with regard to blood loss, intraoperative and postoperative blood transfusion, preoperative and postoperative hemoglobin levels, yielded lymph nodes, and postoperative stay. Minor and major intraoperative and po...Continue Reading

References

Jan 1, 1989·Gynecologic Oncology·A W KennedyK D Webster
Oct 24, 2000·Obstetrics and Gynecology·D E CohnD G Mutch
Feb 13, 2001·Gynecologic Oncology·J P Geisler, H E Geisler
Aug 2, 2003·Journal of the American College of Surgeons·Philippe MoriceDamienne Castaigne

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Citations

Jan 3, 2013·The Journal of Obstetrics and Gynaecology Research·Yukiharu Todo, Noriaki Sakuragi
Jul 8, 2005·Gynecologic Oncology·Denise UyarVivian E von Gruenigen
Apr 22, 2011·American Journal of Obstetrics and Gynecology·Jason D WrightThomas J Herzog
Aug 8, 2006·American Journal of Obstetrics and Gynecology·Wayne H FriedmanWilliam J Hoskins
Jul 10, 2007·Gynecologic Oncology·Kathleen N MooreD Scott McMeekin
Jan 29, 2011·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Yosuke KonnoNoriaki Sakuragi

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