The aim of this study is to compare
morbidity, surgical treatment and post-operative complications in elderly
patients underwent surgery for advanced stage ovarian cancer, comparing to
younger patients. Data of patients underwent surgery at the Department of
Obstetrics and Gynecology of Cannizzaro Hospital (Catania) for advanced stage
(IIIC-IV) ovarian cancer were collected from January 2000 to December 2013.
Patients were stratified by age in two groups (I > 65 years and II < 65
years old). Following variables were collected: stage of the tumor, associated
diseases, previous chemotherapy, the type of surgical procedures, blood
transfusions, intraoperative and postoperative morbidity, mortality, and
hospital stay. Median values between the two groups were compared using
Mann-Whitney test and frequency data using？χ2.
Statistical significance was defined as P < 0.05. A total of 179 patients
were identified, they were divided into 2 groups: 64 patients were age 65 years
or older (group I) and 115 patients were younger than age 65 (group II). In the
whole series, 157 patients (87%) did not experience any complication. Overall,
postoperative complications occurred in 10 (15%) patients in the group I and in
12 (10%) in the group II (p =？NS).
In conclusion, elderly patients may tolerate well surgical procedures within
acceptable postoperative morbidity, a length of hospital stay and a need for
intensive care quite similar to that of younger patients.