Abstract
Surgical cytoreduction remains as an important method in the management of patients with gynocological malignitencies.Despite the new developments in surgical procedures postoperative pulmonary complications (POPCs) are still an important problem that influences the clinical course of patients.This study aimed to evaluate the POPCs after cytoreduction surgery in patiens with gynocological malignancies.
Method: Female patients(n=306, mean age= 55.2 ± 12.5y) who underwent cytoreduction surgery for gynecological malignancies between February2009-February 2014 in Baskent University recruited into the study.Patient demographic and clinical features were all recorded. The relationship between POPCs and risk factors were evaluated.
Results: The incidence of early POPCs was 13%. Thirteen(4.2%) of POPCs were detected on the first day after surgery. POPCs were 3(1%)pneumonia, 8(2.6%)respiratory failure, 21(6.8%) pleural effusion and 6(2%) pulmonary embolism.One of the patients had massive pulmonary embolism resulted in death. Seven(2.3 %) patients had late POPCs between 7th and 30th day after the surgery, while 8(2.6%) of them had after the first month of surgery. The most seen POPC was pleural effusion(n=9 and 2.9 %) in our patients. POPCs were correlated with smoking history(p =0.02) as well as related with the mortality(p = 0.002).
Conclusion: Gynological cytoreduction surgery has a higher risk for POPCs despite the surgical location distance.Clinicians should be aware of POPCs to reduce mortality in postoperative period. We conclude that preoperative smoking cessation strategies, early mobilization and respiratory physiotherapy could be important factors to avoid POPCs.
- Copyright ©the authors 2016
