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Operative Results after Primary and Secondary Debulking‐Operations in Advanced Ovarian Cancer (AOC)
Author(s) -
Lichtenegger Werner,
Sehouli Jalid,
Buchmann Erhardt,
Karajanev Constanza,
Weidemann Henning
Publication year - 1998
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.1998.tb00122.x
Subject(s) - medicine , surgery , debulking , colostomy , ovarian cancer , anastomosis , ileostomy , pouch , cancer
Objective: To assess the role of primary and secondary radical surgery in advanced ovarian cancer (AOC). Design : Retrospective study. Methods: One handred and fifty‐one patients with AOC (FIGO III/IV) underwent altogether 191 extended multivisceral operations between 1/1992 and 2/1998. The statistic analysis compared the primary with the secondary operations. Results: One hundred and seventeen patients had a primary, 63 patients had a secondary and 18 patients a tertiary operation because of relapse of ovarian cancer. Surgical procedures entailed respectively: small‐bowel‐resection (21%/48%), colon resection (39%/58%), colostomy (9%/ll%), ileostomy (2%/4%), ileum‐pouch (0%/6), splenectomy (3%/3%), pelvic floor‐covering (4%/6%), peritoneal removal (24%/21%), infrared contact coagulation (4%/6%). Seventy‐five percent of the patients had no complications: relaparotomy (3%/3%), fistula (3%/6%), short‐bowel‐syndrome (5%/ 11%), postoperatively mortality (2%/6%). Postoperative tumor‐free were 26%/22%, 57% and 65% had residual disease ≤ 2 cm, 16%/13% > 2 cm. Conclusions: Radical multivisceral surgery is feasible, safe and efficient in primary as well in secondary situation of advanced ovarian cancer.