Abstract
ACKGROUND/AIM:
To report on morbidity and oncological outcomes in a consecutive series of gynecological malignancies involving the vascular district.
PATIENTS AND METHODS:
We retrospectively evaluated a consecutive series between 1/2015 and 1/2017 with suspicious gynecological malignancies involving the vascular district. Peri-operative data and survival rates were computed.
RESULTS:
Eight-hundred-four women with gynecological malignancies were admitted for major oncologic surgery during the study period, and among them, 50 cases (6.2%) showed vascular involvement. Twenty-seven and 23 patients were submitted to minor and major vascular procedures, respectively. R0 resection was achieved in 44 patients. There were no perioperative mortalities. Major postoperative complications occurred in 6 patients (12.0%). The 2-year disease free survival (DFS) was 67% if R0 resection was achieved. In patients with positive pathological margins (n=2), the 2-year DFS was 33%.
CONCLUSION:
Vascular procedures can be safely performed with a proper pre-operative planning and may not be an impediment to major gynecological oncological surgery.
Lingua originale | Inglese |
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pagine (da-a) | 6899-6906 |
Numero di pagine | 8 |
Rivista | Anticancer Research |
Volume | 37 |
DOI | |
Stato di pubblicazione | Pubblicato - 2017 |
Keywords
- Abscess
- Adult
- Aged
- Female
- Genital Neoplasms, Female
- Humans
- Kaplan-Meier Estimate
- Middle Aged
- Pelvic Infection
- Postoperative Complications
- Retroperitoneal Neoplasms
- Retrospective Studies
- Vascular Surgical Procedures
- Vascular resection
- Young Adult
- gynecological malignancies
- post-operative complications