Short-term Outcomes of Treatment for Gynecological Cancers in a Tertiary Center in Northeast India

Purpose Gynecological cancers constitute a major public health problem as they are an important cause of cancer-related mortality. Accounting for an estimated annual incidence of more than 3.6 million and mortality exceeding 1.3 million, these constitute nearly 40% of all cancer incidence and more than 30% of all cancer mortality in women worldwide. Gyne-oncology procedures need specialized training and are not routinely done in several gynecology units due to lack of expertise. This study strives to look at the short-term outcomes of treatment for gynecological cancers in a public sector hospital in Northeast India. Methods This is a retrospective analysis of the prospectively maintained data base of a Surgical Oncology unit at a tertiary institute in Northeast India from October 2016 to August 2021. All the data were electronically captured after performance of surgery. Demographics, staging [was done using FIGO classification], and histopathology were recorded. The morbidity and mortality were measured using Clavien–Dindo classification (CD) up to 30 days. Descriptive statistics were used. Results A total of 82 patients were operated for gynecological cancers during the study period. Procedures related to the ovary were performed in 56 patients. Significant morbidity (CD > 3) was seen in five patients, while mortality was seen in one patient. The average duration of hospital stay was 15 days and average blood loss was 741 ml. Average lymph node yield was 25. Primary cytoreductive surgery was the most commonly (31.71%) performed surgery. Conclusion With availability of expertise, gyne-oncology procedures can be offered in Northeast India with acceptable morbidity.