Comparison end-to-end anastomosis with ostomy after secondary surgical cytoreduction for recurrent high-grade serous ovarian cancer: observational single-center study

Arch Gynecol Obstet. 2023 Jul;308(1):231-237. doi: 10.1007/s00404-023-06918-9. Epub 2023 Jan 21.

Abstract

We conducted an observational single-center cohort study on patients with recurrent high-grade serous ovarian carcinoma that underwent secondary surgical cytoreduction with extent of partial ileectomy and/or colectomy, followed by adjuvant chemotherapy (Paclitaxel-Carboplatin). All patients performed previously primary debulking surgery without residual disease, followed by three cycles of adjuvant chemotherapy. The aim of this study was to compare survival in patients with ostomy or end-to-end anastomosis that underwent secondary cytoreduction. Furthermore, we investigated the morbidity, the rate, timing and complications of the ostomy or end-to-end anastomosis after secondary cyto-reduction.

Keywords: Bowel resection; Ovarian cancer; Progression; Secondary cyto-reduction; Survival.

Publication types

  • Observational Study

MeSH terms

  • Anastomosis, Surgical
  • Chemotherapy, Adjuvant
  • Cohort Studies
  • Cytoreduction Surgical Procedures
  • Female
  • Humans
  • Neoadjuvant Therapy
  • Neoplasm Staging
  • Ostomy*
  • Ovarian Neoplasms* / drug therapy
  • Ovarian Neoplasms* / pathology
  • Ovarian Neoplasms* / surgery
  • Retrospective Studies