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Oncology. 2014;86(5-6):303-7. doi: 10.1159/000360294. Epub 2014 Jun 7.

The incidence of genitourinary and gastrointestinal complications in open and endoscopic gynecologic cancer surgery.

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1
The Nancy Yeary Women's Cancer Research Foundation, Newport Beach, Calif., USA.

Abstract

OBJECTIVES:

The purpose of this study was to examine the incidence of genitourinary and intestinal tract injuries in an effort to identify which factors might predispose a patient to developing one of these surgical complications.

METHODS:

We retrospectively evaluated the charts of gynecologic cancer patients who were treated at a single medical institution from January 2002 to February 2011. The following study variables were noted for evaluation: age, BMI, cancer origin, disease recurrence, a history of pelvic surgery, surgery type, operative approach and injury classification (genitourinary or gastrointestinal).

RESULTS:

In our group of 1,618 patients, a total of 47 (2.9%) gastrointestinal and 18 (1.1%) genitourinary tract injuries were encountered. There were no intraoperative-related deaths but 2 patients expired 1 month after surgery. Logistic regression indicated that surgery type, undergoing an open procedure, cancerous involvement of the bowel or genitourinary tract and a history of pelvic surgery were significant predictors of operative injury occurrence [χ(2) (28) = 167.22; p < 0.001].

CONCLUSIONS:

We ascertained a relatively low incidence of gastrointestinal and genitourinary complications. Nevertheless, undergoing an open procedure, a history of pelvic surgery and surgical involvement of the bowel or genitourinary tract were predictive of an increased risk for these aforementioned injuries.

PMID:
24924542
DOI:
10.1159/000360294
[Indexed for MEDLINE]

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