Une exentération pelvienne postérieure avec anastomose est-elle faisable et justifiée dans le traitement des cancers de l'ovaire à un stade évolué? [Pelvic posterior exenteration with immediate colo-rectal anastomosis: is it justified and feasible in advanced stage ovarian carcinoma?]
Details
Serval ID
serval:BIB_5131FB26BC20
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Une exentération pelvienne postérieure avec anastomose est-elle faisable et justifiée dans le traitement des cancers de l'ovaire à un stade évolué? [Pelvic posterior exenteration with immediate colo-rectal anastomosis: is it justified and feasible in advanced stage ovarian carcinoma?]
Journal
Annales de chirurgie
ISSN
0003-3944 (Print)
ISSN-L
0003-3944
Publication state
Published
Issued date
10/2006
Peer-reviewed
Oui
Volume
131
Number
8
Pages
431-436
Language
french
Notes
Publication types: Comparative Study ; English Abstract ; Journal Article
Publication Status: ppublish
Publication Status: ppublish
Abstract
The aim of this study is to show that the removal of the rectum is not an obstacle to implement an optimal surgery in advanced epithelial cancer of the ovary.
Retrospective study on a population of 44 women with advanced epithelial cancer of the ovary. The surgery was realized between January 95 and July 03, and all surgeries required a posterior exenteration. This treatment was completed by chemotherapy for 36 of them.
The median survival of this population is 36.6 months. 6/44 patients (13.6%) had post-operative complications. The completion of chemotherapy started after an average of 5.2 weeks after surgery. All the assessable patients (43/44) have an anal satisfactory continence.
The posterior exenteration, when it's necessary, for advanced epithelial cancer of the ovary must not be an obstacle to obtain an optimal surgery. Anal continence is respected and there are no more complications. This surgical act is safe for the management of this pathology without delaying the others therapeutics and allowing a satisfactory quality of life.
Retrospective study on a population of 44 women with advanced epithelial cancer of the ovary. The surgery was realized between January 95 and July 03, and all surgeries required a posterior exenteration. This treatment was completed by chemotherapy for 36 of them.
The median survival of this population is 36.6 months. 6/44 patients (13.6%) had post-operative complications. The completion of chemotherapy started after an average of 5.2 weeks after surgery. All the assessable patients (43/44) have an anal satisfactory continence.
The posterior exenteration, when it's necessary, for advanced epithelial cancer of the ovary must not be an obstacle to obtain an optimal surgery. Anal continence is respected and there are no more complications. This surgical act is safe for the management of this pathology without delaying the others therapeutics and allowing a satisfactory quality of life.
Keywords
Adenocarcinoma/pathology, Adenocarcinoma/surgery, Adenocarcinoma, Clear Cell/pathology, Adenocarcinoma, Clear Cell/surgery, Adenocarcinoma, Mucinous/pathology, Adenocarcinoma, Mucinous/surgery, Adult, Aged, Aged, 80 and over, Anastomosis, Surgical, Carcinoma, Endometrioid/pathology, Carcinoma, Endometrioid/surgery, Carcinosarcoma/pathology, Carcinosarcoma/surgery, Colon/surgery, Colostomy, Cystadenocarcinoma, Serous/pathology, Cystadenocarcinoma, Serous/surgery, Cystectomy, Feasibility Studies, Female, Humans, Hysterectomy, Ileostomy, Middle Aged, Neoplasm Recurrence, Local, Neoplasm Staging, Ovarian Neoplasms/drug therapy, Ovarian Neoplasms/mortality, Ovarian Neoplasms/pathology, Ovarian Neoplasms/surgery, Ovary/pathology, Pelvic Exenteration, Preoperative Care, Quality of Life, Rectum/surgery, Retrospective Studies, Time Factors, Treatment Outcome
Pubmed
Web of science
Create date
31/10/2019 17:16
Last modification date
05/02/2021 6:26
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