[Surgical procedure of gynecologic malignances in patients over 70 years].
OBJECTIVE
To assess the viability of performing surgical procedure on gynecologic malignances patients over 70 years old.


METHODS
A retrospective study of all patients 70 years of age and older treated by surgical procedure for gynecologic malignances was performed between September 1, 1983, and June 30, 1999.


RESULTS
Fifty-seven patients were older than 70 years of age at the time of the diagnosis. Mean age of the patients was 73.5 years. In thirty-four patients a extensive surgical procedure was carried out, while in twenty-three patients a conservative surgery was done. Seventy-one percent of patients had one or more preexisting medical illnesses. Minor surgical morbidity occurred in 31.6% of the patients, while major surgical morbidity occurred in 10.5% of the patients. There were no differences in the type of surgical procedure, mean hospital stay, preexisting medical illness and postoperative complication between patients 70 to 75 and over age 75. The total major postoperative complications occurred in extensive surgical procedure group and postoperative mean stay was also significantly length.


CONCLUSIONS
The extensive surgical procedure is a safe treatment for elderly patients with gynecologic malignances. Careful preoperative assessment, monitoring, and meticulous postoperative care are vital to the success.
Pan
L
L
Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China.
Huang
H
H
Lian
L
L
D000368:Aged; D005260:Female; D005833:Genital Neoplasms, Female / Q000601:surgery*; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000706:statistics & numerical data*; D006801:Humans; D011183:Postoperative Complications; D012189:Retrospective Studies