Radical hysterectomy cervical cancer
Histerectomía radical por cáncer de cuello uterino
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Abstract
Objective: To describe postoperative outcomes after radical hysterectomy in cervical cancer patients, between June 2007 and June 2017 at Hospital de San José in Bogotá. Materials and Methods: a retrospective review of radical abdominal hysterectomies for treating FIGO (International Federation of Gynecology and Obstetrics) stages IA2-IIA1 cervical cancer. Variables included clinical and pathologic features, and complications. Results: A total of 70 patients with mean age 45.5 years (SD 11.1) were included. Histology confirmed squamous cell carcinoma in 84.3% (n= 59) and adenocarcinoma in 15.7% (n=11). Average estimated blood loss was 700 cc (from 50 - 1000 cc, transfusion index was 12.9%, 9 patients). Intraoperative complications presented in 7 patients (9.9%) and included vascular injury in 5 patients, ureteral injury in one patient and serosal injury to sigmoid colon in one patient. Positive
surgical margins were detected in 7 patients (10%), lymph node metastases in 5 patients (8.6%) and parametrial involvement in 3 patients (4.3%). Tumor size was < 2 cm in 42 patients (60%), stromal invasion <1/3 in 42 patients (62.3%) and lymph node and vascular invasion in 18 patients (25.7%). One patient developed postoperative wound infection (1.4%), 3 presented bladder dysfunction (4.3%) and 23 required radiotherapy (32.8%). Conclusions: open radical surgery at Hospital San José includes an important volume of radical hysterectomies, comparable to that reported by other institutions with a similar complication rate.
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