EP308 Postoperative morbidity of radical hysterectomy and pelvic lymphadenectomy in cervical cancer

• Published in: International journal of gynecological cancer Vol. 29; no. Suppl 4; p. A221
• Main Authors: Hernandez Ontoria, M, Vázquez Sarandeses, A, López González, G, Garcia, Á Tejerizo
• Format: Journal Article
• Language: English
• Published: Oxford BMJ Publishing Group LTD 01.11.2019
• Subjects: Catheters; Cervical cancer; Fistula; Hysterectomy; Surgery
• ISSN: 1048-891X; 1525-1438
• DOI: 10.1136/ijgc-2019-ESGO.369

Introduction/BackgroundAnalysis of postoperative development and complications in cervical cancer treated with radical surgery.MethodologyRetrospective unicentric study which includes patients with cervical cancerhaving a radical hysterectomy and pelvic lymphadenectomy as a first line of treatment were included between 2009 and 2017 from a Spanish third level hospital.ResultsForty-one patients met the inclusion criteria. The mean age at the moment of cervical cancer diagnosis was 50,54 (30, 08–78,74) years. Depending on stage (FIGO 2016) we found: 17,9% IA, 74,4% IB1, 2,6% IB2 2,6% IIA, 2,6% IIB. Laparoscopy approach were performed in 92,7% of the cases and in 7,3% open approach was performed.The mean of postoperative length of hospital stay was 5,5 (SD2,31) days. 23 patients were collected data about time to oral tolerance and to removing urinary catheter. All of them started oral feeding the first postoperative day, apart from one of them who started oral tolerance the surgery day. The median of postoperative urinary catheter was 3 (1–15 days).80,5% (33/41) cases were not register intraoperative adverse events. The urinary and neurologic complications rates were 9,8% and 7,3%. Early complications, defined as complications in the first 30 days after the surgery, were had by 24,4% of the patients. Lower limb lymphedema was the main early complication developed in 7,3% of the cases, other early complications registered in lower rate were: lower limb paresthesia, ureterovaginal fistula, rectovaginal fistula and dehiscence/prolapse of vaginal vault.ConclusionPatients with cervical cancerhaving a radical hysterectomy and pelvic lymphadenectomy as a first line of treatment had a low rate of intraoperative and early postoperative complications.The main intraoperative complications were urologic. In most of the cases early oral tolerance and early removing urinary catheter were possible.DisclosureNothing to disclose.