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Am J Obstet Gynecol. 2006 Aug;195(2):585-9; discussion 589-90. Epub 2006 May 30.

Colorectal resection in patients with ovarian and primary peritoneal carcinoma.

Author information

  • 1Department of Obstetrics and Gynecology, University of South Florida, Tampa, FL, USA. stebes@hsc.usf.edu

Abstract

OBJECTIVE:

This study examines the operative details and complications of colorectal resection in patients with ovarian and primary peritoneal carcinoma.

STUDY DESIGN:

Patients who underwent colorectal resection for ovarian and primary peritoneal cancer were identified in our surgical database for the period 1988 through 2002.

RESULTS:

Of the 125 patients who were identified, 73% were undergoing primary cytoreduction; 18% were undergoing secondary cytoreduction, and 7% were undergoing interval cytoreduction. The mean length of colon that was removed was 15.7 cm. The method of anastomosis was stapler in 63% and hand sewn in 22%; 15% patients had no anastomosis performed. A protective ostomy was used in 13% of patients. Optimal cytoreduction (<1 cm) was achieved in 74%. Operative complications occurred in 37% of patients, with the most common being hemorrhage (25%). Anastomotic leaks occurred in 2.5% of the patients, and the most common postoperative complication was ileus (28%). Postoperative bowel function returned to normal in 71% of patients.

CONCLUSION:

To obtain optimal cytoreduction in patients with ovarian cancer, colorectal resection often is necessary. Colorectal resection can be performed with a low risk of anastomotic complications, and patients frequently have the return of normal bowel function.

PMID:
16730631
[PubMed - indexed for MEDLINE]
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