Perioperative management of concomitant cerebrovascular and/or cardiovascular diseases in elderly patients with endometrial carcinoma

Objective To evaluate the efficacy of the perioperative management of concomitant cerebrovascular and/ar cardiovascular diseases in elderly patients with endometrial carcinoma.Methods The materials of 60 patients with endometrial carcinoma between 1980 and 2000 were retrospectively analyzed.The patients were divided into two groups according to the dividing point of concomitant cerebrovascular and/or cardiovascular diseases.Thirty six of them were identified to have concomitant cerebrovascular cerebr and/or cardiovascular diseases and the other 24 cases had no complicated diseases.Results Mean length of hospital stay of two groups was 29 days and 19 days,respectively(P 0.05 ),and intra operative and postoperative complications occurred in 14 cases and 6cases,respectively,(P0.05).Three and five year survival rates showed no significant difference.Conclusions The elderly patients with endometrial carcinoma and concomitant cerebrovascular and/or cardiovascular diseases can tolerate complicated gynecologic surgery in condition of controlling the perioperative concomitant diseases.