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Rectosigmoid resection by gynecologic oncologists versus colorectal surgeons: as long as it catches the mouse, does the color of the cat matter?
- Source :
- Journal of Gynecologic Oncology
- Publication Year :
- 2021
- Publisher :
- Korean Society of Gynecologic Oncology and Colposcopy, 2021.
-
Abstract
- Objective This study investigates the specific morbidity of rectosigmoid resection (RSR) during Visceral-Peritoneal Debulking (VPD) in a consecutive series of patients with stage IIIC-IV ovarian cancer and compares the results of the colo-rectal vs. the gynaecologic oncology team. Methods All patients with the International Federation of Gynecology and Obstetrics (FIGO) stage IIIC–IV ovarian cancer who had VPD and RSR were included in the study. Between 2009 and 2013 all operations were performed by the gynecologic oncology team alone (group 1). Since 2013 the RSR was performed by the colorectal team together with the gynecologic oncologist (group 2). All pre-operative information and surgical details were compared to exclude significant bias. Intra- and post-operative morbidity events were recorded and compared between groups. Results One hundred and sixty-two patients had a RSR during VPD, 93 in group 1 and 69 in group 2. Groups were comparable for all pre-operative features other than: albumin (12). Overall morbidity was 33% vs. 40% (p=0.53), bowel specific morbidity 11.8% vs. 11.5% (p=0.81), anastomotic leak 4.1% vs. 6.1% (p=0.43) and re-operation rate 9.6% vs. 6.1% (p=0.71) in groups 1 and 2, respectively. None of them were significantly different. The rate of bowel diversion was 36.5% in group 1 vs. 46.3% in group 2 (p=0.26). Conclusions Our study failed to demonstrate any significant difference in the morbidity rate of RSR based on the team performing the surgery. These data warrant further investigation as they are interesting with regards to education, finance, and medico-legal aspects.
- Subjects :
- medicine.medical_specialty
Genital Neoplasms, Female
MEDLINE
Gynecologic oncology
Anastomosis
03 medical and health sciences
Mice
0302 clinical medicine
medicine
Animals
Humans
Stage IIIC
Rectosigmoid resection
Stage (cooking)
Neoplasm Staging
Oncologists
Surgeons
Ovarian Neoplasms
030219 obstetrics & reproductive medicine
business.industry
Mortality rate
General surgery
Ovary
Obstetrics and Gynecology
General Medicine
Cytoreduction Surgical Procedures
Debulking
medicine.disease
Surgery
Ovarian Cancer
Editorial
Oncology
030220 oncology & carcinogenesis
Cats
Original Article
Female
Morbidity
Colorectal Neoplasms
Genital Neoplasms
Ovarian cancer
business
Gynecologic Oncologist
Colorectal surgeons
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Journal of Gynecologic Oncology
- Accession number :
- edsair.doi.dedup.....94b392a5a2e5739481922423cda21413