Sites of bowel resected to achieve optimal ovarian cancer cytoreduction: implications regarding surgical management.
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.
Published In/Presented At
Hoffman, M. S., Griffin, D., Tebes, S., Cardosi, R. J., Martino, M. A., Fiorica, J. V., & ... Grendys, E. J. (2005). Sites of bowel resected to achieve optimal ovarian cancer cytoreduction: implications regarding surgical management. American Journal Of Obstetrics And Gynecology, 193(2), 582-586.
Obstetrics and Gynecology
Department of Obstetrics and Gynecology, Department of Obstetrics and Gynecology Faculty