Major gynecologic oncologic surgery in patients aged > 69 years

The surgical treatment adequacy of oncological geriatric patients is a matt er of debate. The aim of this prospective study was to determine the impact of age on feasibility and extension of surgery in patients aged > 69 years treated with surgery for gynaecological malignancies, between 1986 and 199 7. Patients were stratified according to age: group A (70-74 ys) and group B (>74 ys). In group A and B were 117 and 98 patient, respectively. All cli nical and surgical parameters were analysed by age groups and were similarl y distributed. Feasibility of surgery was 81% in group A and 76% in group B , (P=NS). Major surgery was performed in 49% group A and 42% group B patien ts (NS). There was not significant difference for postoperative morbidity, stay and mortality. Only a prolonged operative time was significantly assoc iated to severe morbidity (P<.05) and only advanced FIGO stage to mortality (P =.01).