Objective:This study examines the operative details and complications of colorectal resection in patients with ovarian and primary peritoneal carcinoma. Study design:Patients who underwent colorectal resection for ova...Objective:This study examines the operative details and complications of colorectal resection in patients with ovarian and primary peritoneal carcinoma. Study design:Patients who underwent colorectal resection for ovarian and primary peritoneal cancer were identified in our surgical database for the period 1988 through 2002. Results:Of the 125 patients who were identified,73%were undergoing primary cytoreduction; 18%were undergoing secondary cytoreduction,and 7%were undergoing interval cytoreduction. The mean length of colon that was removed was 15.7 cm. The method of anastomosis was stapler in 63%and hand sewn in 22%; 15%patients had no anastomosis performed. A protective ostomy was used in 13%of patients. Optimal cytoreduction ( < 1 cm) was achieved in 74%. Operative complications occurred in 37%of patients,with the most common being hemorrhage (25%). Anastomotic leaks occurred in 2.5%of the patients,and the most common postoperative complication was ileus (28%). Postoperative bowel function returned to normal in 71%of patients. Conclusion:To obtain optimal cytoreduction in patients with ovarian cancer,colorectal resection often is necessary. Colorectal resection can be performed with a low risk of anastomotic complications,and patients frequently have the return of normal bowel function.展开更多
文摘Objective:This study examines the operative details and complications of colorectal resection in patients with ovarian and primary peritoneal carcinoma. Study design:Patients who underwent colorectal resection for ovarian and primary peritoneal cancer were identified in our surgical database for the period 1988 through 2002. Results:Of the 125 patients who were identified,73%were undergoing primary cytoreduction; 18%were undergoing secondary cytoreduction,and 7%were undergoing interval cytoreduction. The mean length of colon that was removed was 15.7 cm. The method of anastomosis was stapler in 63%and hand sewn in 22%; 15%patients had no anastomosis performed. A protective ostomy was used in 13%of patients. Optimal cytoreduction ( < 1 cm) was achieved in 74%. Operative complications occurred in 37%of patients,with the most common being hemorrhage (25%). Anastomotic leaks occurred in 2.5%of the patients,and the most common postoperative complication was ileus (28%). Postoperative bowel function returned to normal in 71%of patients. Conclusion:To obtain optimal cytoreduction in patients with ovarian cancer,colorectal resection often is necessary. Colorectal resection can be performed with a low risk of anastomotic complications,and patients frequently have the return of normal bowel function.
