RT Journal Article
SR Electronic
T1 Endometrial Cancer Surgery for Elderly Women—The Early Postoperative Period
JF International Journal of Gynecologic Cancer
JO Int J Gynecol Cancer
FD BMJ Publishing Group Ltd
SP 1652
OP 1655
DO 10.1097/IGC.0000000000000545
VO 25
IS 9
A1 Yoav Peled
A1 Amir Aviram
A1 Polina Perlman
A1 Haim Krissi
A1 Avi Ben-Haroush
A1 Hanoch Levavi
A1 Gad Sabah
A1 Ram Eitan
YR 2015
UL http://ijgc.bmj.com/content/25/9/1652.abstract
AB 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.