Postoperative intestinal fistula in primary advanced ovarian cancer surgery
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comunitat-uji-handle3:10234/36082
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INVESTIGACIONMetadata
Title
Postoperative intestinal fistula in primary advanced ovarian cancer surgeryAuthor (s)
Date
2021-01-06Publisher
Dove Medical PressISSN
1179-1322Bibliographic citation
Llueca A, Serra A, Climent MT, Maiocchi K, Villarin A, Delgado K, Mari-Alexandre J, Gilabert-Estelles J, Carrasco P, Segarra B, Gomez L, Hidalgo JJ, Escrig J, Laguna M. Postoperative Intestinal Fistula in Primary Advanced Ovarian Cancer Surgery. Cancer Manag Res. 2021;13:13-23 https://doi.org/10.2147/CMAR.S280511Type
info:eu-repo/semantics/articlePublisher version
https://www.dovepress.com/postoperative-intestinal-fistula-in-primary-advanced-o ...Version
info:eu-repo/semantics/publishedVersionAbstract
Background: Advanced ovarian cancer (AOC) requires an aggressive surgery with large visceral resections in order to achieve an optimal or complete cytoreduction and increase the patient’s survival. However, the surgical ... [+]
Background: Advanced ovarian cancer (AOC) requires an aggressive surgery with large visceral resections in order to achieve an optimal or complete cytoreduction and increase the patient’s survival. However, the surgical aggressiveness in the treatment of AOC is not exempt from major complications, such as the gastrointestinal fistula (GIF), which stands out among others due to its high morbidity and mortality.
Methods: We evaluated the clinicopathological features in patients with AOC and their association with GI. Data for 107 patients with AOC who underwent primary debulking surgery were analyzed retrospectively. Clinicopathological features, including demographic, surgical procedures and follow-up data, were analyzed in relation to GIF.
Results: GIF was present in 11% of patients in the study, 5 (4.5%) and 7 (6.4%) of colorectal and small bowel origin, respectively. GIF was significantly associated with peritoneal cancer index (PCI) > 20, more than 2 visceral resections, and multiple digestive resections. Overall and disease-free survival were also associated with GIF. Multivariate analysis identified partial bowel obstruction and operative bleeding as independent prognostic factors for survival. The presence of GIF is positively associated with poor prognosis in patients with AOC.
Conclusion: Given the importance of successful cytoreductive surgery in AOC, the assessment of the amount of tumor and the aggressiveness of the surgery to avoid the occurrence of GIF become a priority in patients with AOC. [-]
Is part of
Cancer Management and Research, vol.13 (2021)Funder Name
Instituto de Salud Carlos III (ISCIII)
Project code
PI17/01945
Rights
(c) 2021 Llueca et al.
info:eu-repo/semantics/openAccess
info:eu-repo/semantics/openAccess
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