RADICAL HYSTERECTOMY FOR CERVICAL-CANCER - MORBIDITY AND SURVIVAL IN RELATION TO WEIGHT AND AGE

被引:44
作者
LEVRANT, SG [1 ]
FRUCHTER, RG [1 ]
MAIMAN, M [1 ]
机构
[1] SUNY HLTH SCI CTR BROOKLYN,DEPT OBSTET & GYNECOL,450 CLARKSON AVE,BOX 24,BROOKLYN,NY 11203
关键词
D O I
10.1016/0090-8258(92)90312-7
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The records of 123 patients with Stage I cervical cancer who underwent radical hysterectomy with pelvic lymphadenectomy and para-aortic node sampling from 1981 to 1988 were reviewed to assess the risks of surgery associated with increasing weight and age. Fifty-four patients were obese (20% or more over ideal body weight) and fourteen were elderly (age 65 or older). Previous abdominal/pelvic surgery and operative time were significantly increased in the obese patients (P < 0.05). Increased weight was associated with increased blood loss (P = 0.06). Medical illnesses, transfusion rates, postoperative stay, intraoperative and postoperative complications (including wound infection and separation), long-term complications, and 5-year survival rates were not significantly different in obese and nonobese women. Diabetes mellitus, hypertension, any medical illness, intraoperative complications (29% vs 3%), and postoperative ileus were significantly higher (P < 0.05) in elderly patients. However, operative time, blood loss, transfusion rates, postoperative stay, postoperative complications (exclusive of ileus), long-term complications (13-21%), and 5-year survival rates (77-99%) were not significantly different when analyzed by age. We found no significant increase in morbidity of radical hysterectomy for Stage I cervical cancer in the obese patient and minimally increased morbidity in the elderly patient with no increase in long-term complications or decrease in survivial. Obesity should not represent a contraindication to radical surgery in appropriately selected patients with Cervical Cancer. © 1992.
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页码:317 / 322
页数:6
相关论文
共 10 条
[1]  
CHAPMAN GW, 1988, J NATL MED ASSOC, V80, P417
[2]  
DISAIA PJ, 1989, CLIN GYNECOLOGIC ONC, P67
[4]   WERTHEIM HYSTERECTOMY IN THE GERIATRIC POPULATION [J].
KINNEY, WK ;
EGORSHIN, EV ;
PODRATZ, KC .
GYNECOLOGIC ONCOLOGY, 1988, 31 (01) :227-232
[5]  
KREBS HB, 1984, OBSTET GYNECOL, V63, P241
[6]  
LAWTON FG, 1990, OBSTET GYNECOL, V76, P287
[7]  
MORROW CP, 1977, AM J OBSTET GYNECOL, V127, P335
[8]  
PITKIN RM, 1976, SURG GYNECOL OBSTET, V142, P532
[9]   RADIOTHERAPY VERSUS SURGERY IN THE TREATMENT OF CERVIX STAGE-IB CANCER [J].
VOLTERRANI, F ;
FELTRE, L ;
SIGURTA, D ;
DIGIUSEPPE, M ;
LUCIANI, L .
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 1983, 9 (12) :1781-1784
[10]  
1983, METROPOLITAN LIFE F, V64, P1