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Predictive factors of surgical complications after pelvic exenteration for gynecological malignancies: a large single-institution experience.


ABSTRACT:

Objective

To evaluate pre-operative predictors of early (<30 days) severe complications (grade Dindo 3+) in patients with gynecological malignancy submitted to pelvic exenteration (PE).

Methods

We retrospectively analyzed 129 patients submitted to surgery at Fondazione Policlinico Gemelli between 2010 and 2019. We included patients affected by primary or recurrent/persistent cervical, endometrial, or vulvar/vaginal cancers. Post-operative complications were graded according to the Dindo classification. Logistic regression was used to analyze potential predictors of complications.

Results

We performed 63 anterior PE, 10 posterior PE, and 56 total PE. The incidence of early severe post-operative complications was 27.9% (n=36), and the early mortality rate was 2.3% (n=3)

SUBMITTER: Tortorella L 

PROVIDER: S-EPMC10792212 | biostudies-literature | 2024 Jan

REPOSITORIES: biostudies-literature