Vaginal Treatment for Endometrial Cancer in Elderly Patients

Sample size: 68 publication Evidence: moderate

Author Information

Author(s): Moscarini Massimo, Ricciardi Enzo, Quarto Alessandro, Maniglio Paolo, Caserta Donatella

Primary Institution: Sapienza University of Rome, Sant'Andrea Hospital

Is vaginal hysterectomy a viable alternative to abdominal hysterectomy for elderly patients with endometrial cancer?

Vaginal surgery has similar outcomes to abdominal surgery in selected elderly patients with early-stage endometrial cancer.

Vaginal surgery was performed in 45.6% of patients, abdominal surgery in 54.4%.
Group V patients had a lower mean post-operative hospital stay.
Disease-specific survival time at 5 years was 97% for both groups.
Elderly patients often have higher rates of comorbidities, impacting surgical risk.

This study shows that older women with early-stage endometrial cancer can safely have vaginal surgery instead of more invasive abdominal surgery.

Retrospective analysis of 68 cases divided into two groups: vaginal surgery and abdominal surgery.

Potential selection bias in choosing patients for each surgical method.

The study is retrospective and may not account for all variables affecting outcomes.

Patients were older than 70 years, with a mean age of 76.2 years in the vaginal group and 70.4 years in the abdominal group.

p = 0.01 for higher prevalence of comorbidities in the vaginal group.

p<0.05

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