Evaluasi Tindakan Operatif pada Kanker Serviks, Endometrium, dan Ovarium di RSUP Dr. Hasan Sadikin Bandung Tahun 2015-2016

Objectives: To evaluate the post-operative outcomes in patients with cervical, endometrial, and ovarian cancers in Dr. Hasan Sadikin General Hospital in 2015−2016. Method: We retrospectively evaluated cross-sectionally the charts of these three cancer patients who underwent operative procedures from January 2015 to December 2016 in Dr. Hasan Sadikin Hospital. The following study variables were noted for evaluation: age, BMI, parity, cancer origin, type of surgery, and operative complications. Results: A total of 560 oncologic surgery from these three cancers was undertaken and met the inclusion criteria from January 2015 to December 2016. Median age was 45 years old, with 222 (39,6%) patients had normal BMI and 413 (73,8%) patients belonged to ovarian cancer. Operative complications such as bleeding >2000cc were reported in 141 (25,2%) cases. The most common length of surgery time was 3−4 hours in 208 (37,1%) patients. A total of 40 (7,1%) gastrointestinal and 28 (5%) genitourinary tract injuries were encountered. Median length of stay was 7 days, post-operative staying at ICU was noted in 47 (8,4%) patients and 20 (3,6%) had intraoperative-related deaths. Conclusion: The most common complication is bleeding.The operative procedure of cervical cancer is more related to injury to the genitourinary tract, while gastrointestinal tract injury mostly occurs in the operative procedure of ovarian cancer