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Published on: September 12, 2019
[Retrospective case-control study of surgical treatment of stage IB-IIA cervical carcinomas after neoadjuvant
Vida Marija Cigriejiene1, Skirmantas Kajenas, Mindaugas Balnys
1Clinic of Obstetrics and Gynecology, Kaunas University of Medicine Hospital, Eiveniu 2, 50010 Kaunas, Lithuania. skajenas@takas.lt
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).
Conclusion:
In our study, preoperative radiotherapy did not seem to complicate course of radical hysterectomy.