The impact of obesity on surgery in gynecological oncology: a review. Issue 2 (1st March 2006)

• Record Type: Journal Article
• Authors: Papadia, A.; Ragni, N.; Salom, E. M.
• Is Part Of: International journal of gynecological cancer. Volume 16:Issue 2(2006)
• Page Start: 944
• Page End: 952
• Publication Date: 2006-03-01
• Subjects: gynecological oncology -- obesity -- surgery; Generative organs, Female -- Cancer -- Periodicals; 616.99465
• DOI: 10.1136/ijgc-00009577-200603000-00083
• Languages: English
• ISSNs: 1048-891X

Abstract

Abstract : Surgery represents a mainstay in the treatment of gynecological cancers. It is a common belief that operating on obese patients causes more peri- and postoperative complications than operating on nonobese patients. The surgical outcome in gynecological oncology can be evaluated by comparing intra- and postoperative complications, extent of lymphadenectomy, negativity of the specimens' margins, and percentage of optimal debulking between obese and nonobese patients affected by malignancies at the same stage. In this review, we analyze how obesity affects the feasibility of a correct oncologic procedure in case of cervical, endometrial, and ovarian cancer. We also describe the techniques that have been suggested in the literature to improve the surgical outcome on obese patients.