RT Journal Article SR Electronic T1 Radical hysterectomy for cervical cancer: the effect of shorter length of stay on outcome JF Cleveland Clinic Journal of Medicine JO Cleve Clin J Med FD Cleveland Clinic SP 193 OP 197 VO 62 IS 3 A1 Kennedy, Alexander W. A1 Peterson, Gert A1 Tuason, Laurie J. A1 Belinson, Jerome L. A1 Webster, Kenneth D. YR 1995 UL http://www.ccjm.org/content/62/3/193.abstract AB BACKGROUND The surgical treatment for limited cervical cancer (radical hysterectomy and pelvic lymph node dissection) has remained essentially the same for 40 years, but economic pressures have resulted in shorter length of hospital stay, and precautions against infectious diseases have resulted in less use of blood productsPURPOSE To determine if recent changes in hospital practices have affected outcomes, and if obese patients are at greater risk of complications.METHODS Retrospective review of 100 surgical cases grouped by time period (1981 through 1987 and 1988 through 1993) and by patient weight (< 80 kg and ≥ 80 kg).RESULTS Comparing the two time periods, the mean operative time remained the same (199 minutes), but use of blood products declined (mean 2.1 vs 1.5 units; P < .01), as did the mean length of hospital stay (10.6 vs 7.4 days, P < .01). The rate of postoperative complications decreased significantly (P < .01), and the 5-year survival rate remained 91%. Obese patients received more blood transfusions than did nonobese patients (2.6 vs 1.6 units; P = .02), but their mean operative time and hospital stay did not significantly differ. The rate of postoperative and long-term complications did not differ significantly between the two weight groups.CONCLUSIONS Surgical treatment of limited cervical carcinoma continues to be safe and effective.