Báo cáo khoa học: Radical hysterectomy in the elderly
Số trang: 4
Loại file: pdf
Dung lượng: 201.69 KB
Lượt xem: 6
Lượt tải: 0
Xem trước 2 trang đầu tiên của tài liệu này:
Thông tin tài liệu:
Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Radical hysterectomy in the elderly
Nội dung trích xuất từ tài liệu:
Báo cáo khoa học: "Radical hysterectomy in the elderly"World Journal of Surgical Oncology BioMed Central Open AccessResearchRadical hysterectomy in the elderlyAzamsadat Mousavi, Mojgan Karimi Zarchi*, Mitra Modares Gilani,Nadereh Behtash, Fatemeh Ghaemmaghami, Maryam Shams andMaryam IrvanipoorAddress: Gynecologic Oncology Department, Vali-e-Asr Hospital, Imam Khomeini Hospital Complex, Keshavarz Blvd., Tehran 14914, IranEmail: Azamsadat Mousavi - azamsadat_mousavi@yahoo.com; Mojgan Karimi Zarchi* - drkarimi2001@yahoo.com; Mitra ModaresGilani - mmodares@yahoo.com; Nadereh Behtash - nadbehtash@yahoo.com; Fatemeh Ghaemmaghami - ftghaemmagh@yahoo.com;Maryam Shams - mshams@yahoo.com; Maryam Irvanipoor - mirvanipoor@yahoo.com* Corresponding authorPublished: 7 April 2008 Received: 19 March 2007 Accepted: 7 April 2008World Journal of Surgical Oncology 2008, 6:38 doi:10.1186/1477-7819-6-38This article is available from: http://www.wjso.com/content/6/1/38© 2008 Mousavi et al; licensee BioMed Central Ltd.This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0),which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Background: The considerable increase in life expectancy on one hand and an increase in cervical cancer among Iranian patients on the other, brings out the importance of investigating whether radical surgery can be performed safely and effectively on patients above 60 years of age. Methods: In a study of historical cohort, all 22 patients 60 years and above who have undergone a Wertheim radical hysterectomy for cervical cancer from 1999 to 2005 were compared with 128 matched cases under 60 years of age who had undergone a Wertheim hysterectomy during the same calendar year. All patients were analyzed for preexisting medical comorbidities, length of postoperative stay, morbidity, and postoperative mortality. Results: There was no operative mortality in either group, morbidity (minor, p = 0.91; major, p = 0.89) were statistically not different in the two groups despite the patients above 60 years having significantly higher comorbidity prior to surgery than the younger cohort (minor, P < 0.05; major, P < 0.05). The mean postoperative hospital stay was significantly longer in the older patients (5 days vs. 3 days, P < 0.001). Conclusion: Wertheim Radical hysterectomy is a safe surgical procedure in the selected population of patients 60 years and over. No differences in operative mortality or morbidity were found when compared to a cohort of patients aged 60 years or younger. that surgery and radiotherapy are equally effective forBackgroundUterine cervical cancer is the most common neoplasia of treatment of early cervical cancers, the latter is less prefer-primary gynecological malignant disease in many coun- able due to unexpected complications and long-term con-tries; In Iran after breast cancer, cervical cancer is the sec- sequences [1,2].ond most common female cancer and according to ahospital-based registry, the incidence of this malignancy is Radical hysterectomy involves the removal of cervix,6–8/100000; moreover life expectancy is increasing and uterus, and supporting tissues, with the pelvic lym-so is the percentage of elderly patients. Despite the fact phadenectomy and removal of upper third vagina [1-4]. Page 1 of 4 (page number not for citation purposes)World Journal of Surgical Oncology 2008, 6:38 http://www.wjso.com/content/6/1/38Although 5-year survival is more than 90% for node neg- low or gynecologic resident involved in the care of theative disease [2], ...
Nội dung trích xuất từ tài liệu:
Báo cáo khoa học: "Radical hysterectomy in the elderly"World Journal of Surgical Oncology BioMed Central Open AccessResearchRadical hysterectomy in the elderlyAzamsadat Mousavi, Mojgan Karimi Zarchi*, Mitra Modares Gilani,Nadereh Behtash, Fatemeh Ghaemmaghami, Maryam Shams andMaryam IrvanipoorAddress: Gynecologic Oncology Department, Vali-e-Asr Hospital, Imam Khomeini Hospital Complex, Keshavarz Blvd., Tehran 14914, IranEmail: Azamsadat Mousavi - azamsadat_mousavi@yahoo.com; Mojgan Karimi Zarchi* - drkarimi2001@yahoo.com; Mitra ModaresGilani - mmodares@yahoo.com; Nadereh Behtash - nadbehtash@yahoo.com; Fatemeh Ghaemmaghami - ftghaemmagh@yahoo.com;Maryam Shams - mshams@yahoo.com; Maryam Irvanipoor - mirvanipoor@yahoo.com* Corresponding authorPublished: 7 April 2008 Received: 19 March 2007 Accepted: 7 April 2008World Journal of Surgical Oncology 2008, 6:38 doi:10.1186/1477-7819-6-38This article is available from: http://www.wjso.com/content/6/1/38© 2008 Mousavi et al; licensee BioMed Central Ltd.This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0),which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Background: The considerable increase in life expectancy on one hand and an increase in cervical cancer among Iranian patients on the other, brings out the importance of investigating whether radical surgery can be performed safely and effectively on patients above 60 years of age. Methods: In a study of historical cohort, all 22 patients 60 years and above who have undergone a Wertheim radical hysterectomy for cervical cancer from 1999 to 2005 were compared with 128 matched cases under 60 years of age who had undergone a Wertheim hysterectomy during the same calendar year. All patients were analyzed for preexisting medical comorbidities, length of postoperative stay, morbidity, and postoperative mortality. Results: There was no operative mortality in either group, morbidity (minor, p = 0.91; major, p = 0.89) were statistically not different in the two groups despite the patients above 60 years having significantly higher comorbidity prior to surgery than the younger cohort (minor, P < 0.05; major, P < 0.05). The mean postoperative hospital stay was significantly longer in the older patients (5 days vs. 3 days, P < 0.001). Conclusion: Wertheim Radical hysterectomy is a safe surgical procedure in the selected population of patients 60 years and over. No differences in operative mortality or morbidity were found when compared to a cohort of patients aged 60 years or younger. that surgery and radiotherapy are equally effective forBackgroundUterine cervical cancer is the most common neoplasia of treatment of early cervical cancers, the latter is less prefer-primary gynecological malignant disease in many coun- able due to unexpected complications and long-term con-tries; In Iran after breast cancer, cervical cancer is the sec- sequences [1,2].ond most common female cancer and according to ahospital-based registry, the incidence of this malignancy is Radical hysterectomy involves the removal of cervix,6–8/100000; moreover life expectancy is increasing and uterus, and supporting tissues, with the pelvic lym-so is the percentage of elderly patients. Despite the fact phadenectomy and removal of upper third vagina [1-4]. Page 1 of 4 (page number not for citation purposes)World Journal of Surgical Oncology 2008, 6:38 http://www.wjso.com/content/6/1/38Although 5-year survival is more than 90% for node neg- low or gynecologic resident involved in the care of theative disease [2], ...
Tìm kiếm theo từ khóa liên quan:
báo cáo khoa học báo cáo y học công trình nghiên cứu về y học tài liệu về y học cách trình bày báo cáoTài liệu liên quan:
-
HƯỚNG DẪN THỰC TẬP VÀ VIẾT BÁO CÁO THỰC TẬP TỐT NGHIỆP
18 trang 359 0 0 -
63 trang 326 0 0
-
13 trang 268 0 0
-
Báo cáo khoa học Bước đầu tìm hiểu văn hóa ẩm thực Trà Vinh
61 trang 255 0 0 -
Hướng dẫn thực tập tốt nghiệp dành cho sinh viên đại học Ngành quản trị kinh doanh
20 trang 244 0 0 -
Tóm tắt luận án tiến sỹ Một số vấn đề tối ưu hóa và nâng cao hiệu quả trong xử lý thông tin hình ảnh
28 trang 225 0 0 -
Đồ án: Nhà máy thủy điện Vĩnh Sơn - Bình Định
54 trang 223 0 0 -
23 trang 214 0 0
-
Đề tài nghiên cứu khoa học và công nghệ cấp trường: Hệ thống giám sát báo trộm cho xe máy
63 trang 211 0 0 -
NGHIÊN CỨU CHỌN TẠO CÁC GIỐNG LÚA CHẤT LƯỢNG CAO CHO VÙNG ĐỒNG BẰNG SÔNG CỬU LONG
9 trang 211 0 0