Aggressive surgery for advanced ovarian cancer performed by a multidisciplinary team: A retrospective analysis on a large series of patients

AbstractBackgroundTo evaluate the impact of extended surgical treatment performed by a team of gynecologists and general surgeons on postoperative morbidity and survival of patients with advanced ovarian cancer. MethodsWe collected data of 156 patients with advanced ovarian cancer stage IIb-III-IV a...

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Published in:	Surgery open science Vol. 1; no. 1; pp. 43 - 47
Main Authors:	Rausei, Stefano, Uccella, Stefano, D'Alessandro, Valentina, Gisone, Baldo, Frattini, Francesco, Lianos, Georgios, Rovera, Francesca, Boni, Luigi, Dionigi, Gianlorenzo, Ghezzi, Fabio
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01.07.2019 Elsevier
Subjects:	Surgery
ISSN:	2589-8450, 2589-8450
Online Access:	Get full text
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Summary:	AbstractBackgroundTo evaluate the impact of extended surgical treatment performed by a team of gynecologists and general surgeons on postoperative morbidity and survival of patients with advanced ovarian cancer. MethodsWe collected data of 156 patients with advanced ovarian cancer stage IIb-III-IV according to International Federation of Gynecology and Obstetrics classification and treated with primary cytoreduction. End points were perioperative and postoperative complications and cancer-related survival. ResultsIn 51 cases (51/156, 32.7%) a multivisceral resection was completed. Postoperative complications occurred in 52 cases (33.3%). The duration of the surgical procedure as well as the need for diaphragmatic peritonectomy were the factors independently associated with the development of postoperative complications. Five-year cancer-related survival rate was of 50.7%: only histotype and residual tumor resulted significantly associated. ConclusionsOur results highlight the importance of a team of gynecologists and general surgeons with specific interests and skills to achieve cytoreduction as rapidly as possible, even when it implies very complex maneuvers.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	2589-8450 2589-8450
DOI:	10.1016/j.sopen.2019.05.005