[Retrospective case-control study of surgical treatment of stage IB-IIA cervical carcinomas after neoadjuvant radiotherapy].
OBJECTIVE
To evaluate if preoperative radiotherapy influences course of operation (radical hysterectomy and lymphadenectomy) and postoperative period in series of stage IB-IIA cervical carcinomas.


METHODS
Retrospective comparative study was performed. During the study we analyzed 101 case histories of patients who underwent radical type II hysterectomy with lymphadenectomy in Kaunas University of Medicine Hospital and Kaunas Hospital of Oncology between 1995 and 2002.


RESULTS
Mean operation time was shorter, hemoglobin and hematocrit values after operation were better, stay in hospital was longer, demand for narcotic analgetics was bigger, function of ovaries was maintained more rarely (p<0.05) in the group of patients undergoing preoperative radiotherapy. The number of patients requiring transfusions and count of complications were similar in both groups (p>0.05).


CONCLUSIONS
In our study, preoperative radiotherapy did not seem to complicate course of radical hysterectomy.
Cigriejiene
Vida Marija
VM
Clinic of Obstetrics and Gynecology, Kaunas University of Medicine Hospital, Eiveniu 2, 50010 Kaunas, Lithuania. skajenas@takas.lt
Kajenas
Skirmantas
S
Balnys
Mindaugas
M
Mikuckaite
Lina
L
D000328:Adult; D000368:Aged; D016022:Case-Control Studies; D002584:Cervix Uteri / Q000473:pathology; D003627:Data Interpretation, Statistical; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D007902:Length of Stay; D008197:Lymph Node Excision; D008875:Middle Aged; D009367:Neoplasm Staging; D011300:Preoperative Care; D018714:Radiotherapy, Adjuvant; D012189:Retrospective Studies; D013997:Time Factors; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000532:radiotherapy* / Q000601:surgery*