Complications of radical hysterectomy in women with early stage cervical cancer: clinical analysis of 270 cases.
During a 25 year period, 270 cases of stage IB and IIA cervical cancer were subjected to radical hysterectomy and lymphadenectomy. The morbidity rate was 27.6% and mortality rate was 0.3%. While injuries to the great vessels were the most common intra-operative complications, the most frequent postoperative complications were in the urinary system. The leading causes of morbidity were bladder dysfunction (16.2%), urinary infection (5.9%), lymphocyst (6.4%) and wound infections (3.5%). While the overall complications seem high, the frequency of serious morbidity has diminished and radical hysterectomy now represents one of the accepted methods of treatment of cervical carcinoma, with good 5-year survival rates.
Hacettepe University, School of Medicine, Department of Obstetrics and Gynecology, Ankara, Turkey.
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Ayhan
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ZS
Tuncer
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Yarali
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D015994:Incidence; D008875:Middle Aged; D009367:Neoplasm Staging; D011183:Postoperative Complications / Q000453:epidemiology; D014421:Turkey / Q000453:epidemiology; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery*