Article Text

Download PDFPDF
Endometrial Cancer Surgery for Elderly Women—The Early Postoperative Period
  1. Yoav Peled, MD,
  2. Amir Aviram, MD,
  3. Polina Perlman, MD,
  4. Haim Krissi, MD,
  5. Avi Ben-Haroush, MD,
  6. Hanoch Levavi, MD,
  7. Gad Sabah, MD and
  8. Ram Eitan, MD
  1. The Gynecologic Oncology Division, Rabin Medical Center, Beilinson Hospital, Petah Tikva; and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
  1. Address correspondence and reprint requests to Ram Eitan, MD, Gynecologic Oncology Division, Rabin Medical Center, Beilinson Hospital, Derech Ze’ev Jabotinsky 39, Petah Tikva, 4941492, Israel. E-mail: eitanram{at}yahoo.com.

Abstract

Objective The aim of this study was to examine the early postoperative period and assess whether elderly patients recuperate differently than do their younger counterparts after surgery for endometrial cancer.

Methods This retrospective chart review comprised all women older than 75 years who underwent laparotomy for endometrial cancer staging at our center from January 2005 through December 2010 and a consecutive control group of women younger than 74 years. Parameters included demographic variables, surgical procedure/findings, postoperative morbidity, and pathology.

Results Ninety patients older than 75 years and 88 younger patients were identified. The elderly patients had a statistically significant prolonged wait for bowel movement (5.9 vs 3.1 days, P = 0.002) and ambulated later (4.1 vs 1.1 days, P < 0.001). Postoperative hospital stay was similar in both groups (5.8 vs 4.2 days, P = 0.37). Early postoperative complications (fever, bowel, wound, eventration, cardiopulmonary) occurred at a similar rate in both groups.

Conclusions Elderly patients after laparotomy for endometrial cancer staging ambulated later and recovered bowel function later than did the younger patients. This did not translate into prolonged hospital stay or excessive complications. Earlier intervention with physical therapy and stool softeners can possibly close this gap in recovery.

  • Endometrial cancer
  • Geriatrics
  • Surgery

Statistics from Altmetric.com

Footnotes

  • The authors declare no conflicts of interest.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.