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Am J Obstet Gynecol. 2005 Aug;193(2):582-6; discussion 586-8.

Sites of bowel resected to achieve optimal ovarian cancer cytoreduction: implications regarding surgical management.

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1
Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of South Florida, Tampa, USA. macevedo@hsc.usf.edu

Abstract

OBJECTIVE:

The purpose of this study was to 1) report on the distribution of bowel segments resected in a population of patients who underwent primary optimal cytoreductive surgery for epithelial ovarian cancer, and 2) discuss implications for surgical management regarding resection of these bowel segments.

STUDY DESIGN:

This was a retrospective study from 1995 to 2003 of 144 ovarian cancer patients who underwent primary optimal cytoreductive operations that included bowel resection.

RESULTS:

Bowel segments removed and major complications are presented in tabulated form. Eighty-one out of 144 resections were rectosigmoid only. Thirty-six percent had extensive involvement of colon segments separate from the rectosigmoid. Excluding hemorrhage, 9 patients (6%) experienced a major complication.

CONCLUSION:

The present study does suggest the necessity for a highly individualized approach to the surgical management of epithelial ovarian cancer patients who can be optimally cyto-reduced by resection of multifocal colonic involvement. Further study is needed to better assess the complications, function, and oncologic outcome of the different surgical approaches to these patients.

PMID:
16098902
DOI:
10.1016/j.ajog.2005.03.046
[Indexed for MEDLINE]
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