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Review
. 2025 Jul 30;17(15):2514.
doi: 10.3390/cancers17152514.

Critical Care Management of Surgically Treated Gynecological Cancer Patients: Current Concepts and Future Directions

Vasilios Pergialiotis  1 , Philippe Morice  2   3 , Vasilios Lygizos  1 , Dimitrios Haidopoulos  1 , Nikolaos Thomakos  1
Affiliations
Review

Critical Care Management of Surgically Treated Gynecological Cancer Patients: Current Concepts and Future Directions

Vasilios Pergialiotis et al. Cancers (Basel). .

Abstract

The significant advances in the surgical and medical treatment of gynecological cancer have led to improved survival outcomes of several subgroups of patients that were until recently opted out of treatment plans. Surgical cytoreduction has evolved through advanced surgical complexity procedures and the need for critical care of gynecological cancer patients has increased. Despite that, however, articles focusing on the need of perioperative monitoring of these patients completely lack from the international literature; hence, recommendations are still lacking. Critical care may be offered in different types of facilities with specific indications. These include the post-anesthesia care unit (PACU), the high dependency unit (HDU) and the intensive care unit (ICU) which have discrete roles and should be used judiciously in order to avoid unnecessary increases in the hospitalization costs. In the present review we focus on the pathophysiological alterations that are expected in gynecological cancer patients undergoing surgical treatment, provide current evidence and discuss indications of hospitalization as well as discharge criteria from intensive care facilities.

Keywords: critical care; gynecological cancer; high dependency unit; intensive care unit.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Predictive factors of admission to intensive care facilities.
Figure 2
Figure 2
Causes of renal dysfunction in gynecologic oncology patients undergoing surgery and/or systemic therapy.
Figure 3
Figure 3
Criteria of admission of surgical patients in intensive care facilities.
See this image and copyright information in PMC

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