Parcelar gastric resection in association with bowel resections as part of debulking surgery for advanced stage ovarian cancer – a case report
Ovarian cancer represents one of the most aggressive gynecological malignancies affecting women worldwide, associated with significant rates of cancer related death within the first years after the initial diagnostic. The poor survival rates are usually explained by the presence of disseminated lesi...
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Amaltea Medical Publishing House
2021-06-01
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doaj-b8dd2e467b7b4038965e325e8b9641ae2021-09-02T20:23:56ZengAmaltea Medical Publishing HouseRomanian Medical Journal1220-54782069-606X2021-06-0168230630910.37897/RMJ.2021.2.28Parcelar gastric resection in association with bowel resections as part of debulking surgery for advanced stage ovarian cancer – a case reportNicolae Bacalbasa0Irina Balescu1Adnan Al Aloul2Department of Visceral Surgery, Center of Excellence in Translational Medicine “Fundeni” Clinical Institute, Bucharest, Romania; Department of Obstetrics and Gynecology, “Carol Davila” University of Medicine and Pharmacy, Bucharest, RomaniaDepartment of Surgery, Ponderas Academic Hospital, Bucharest, RomaniaDepartment of Surgery, Ramnicu Sarat County Hospital, Buzau, Romania; Doctoral School, “Titu Maiorescu“ University, Bucharest, RomaniaOvarian cancer represents one of the most aggressive gynecological malignancies affecting women worldwide, associated with significant rates of cancer related death within the first years after the initial diagnostic. The poor survival rates are usually explained by the presence of disseminated lesions even from the beginning. In such situations, the digestive tube is one of the most commonly involved territory, therefore necessitating extended resections in order to achieve complete cytoreduction. The aim of this paper is to report the case of a 53 year old patient who was diagnosed with peritoneal carcinomatosis from ovarian cancer, presenting multiple levels of digestive tract involvement due to the presence of disseminated tumoral masses. Therefore the patients was submitted to multiple digestive resections represented by parcelar gastrectomy, segmental ileal resection and subtotal colectomy. In order to minimize the risks of developing severe postoperative complications – due to the relatively high number of anastomoses – the continuity of the digestive tract was established by a terminal ileostomy, considering that creation of a ileorectal anastomosis would be too dangerous in the context of multiple digestive resections. The postoperative evolution was simple, the patient being further submitted to adjuvant treatment.https://rmj.com.ro/articles/2021.2/RMJ_2021_2_Art-28.pdfovarian cancerperitoneal carcinomatosisgastric resectionbowel resection |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Nicolae Bacalbasa Irina Balescu Adnan Al Aloul |
spellingShingle |
Nicolae Bacalbasa Irina Balescu Adnan Al Aloul Parcelar gastric resection in association with bowel resections as part of debulking surgery for advanced stage ovarian cancer – a case report Romanian Medical Journal ovarian cancer peritoneal carcinomatosis gastric resection bowel resection |
author_facet |
Nicolae Bacalbasa Irina Balescu Adnan Al Aloul |
author_sort |
Nicolae Bacalbasa |
title |
Parcelar gastric resection in association with bowel resections as part of debulking surgery for advanced stage ovarian cancer – a case report |
title_short |
Parcelar gastric resection in association with bowel resections as part of debulking surgery for advanced stage ovarian cancer – a case report |
title_full |
Parcelar gastric resection in association with bowel resections as part of debulking surgery for advanced stage ovarian cancer – a case report |
title_fullStr |
Parcelar gastric resection in association with bowel resections as part of debulking surgery for advanced stage ovarian cancer – a case report |
title_full_unstemmed |
Parcelar gastric resection in association with bowel resections as part of debulking surgery for advanced stage ovarian cancer – a case report |
title_sort |
parcelar gastric resection in association with bowel resections as part of debulking surgery for advanced stage ovarian cancer – a case report |
publisher |
Amaltea Medical Publishing House |
series |
Romanian Medical Journal |
issn |
1220-5478 2069-606X |
publishDate |
2021-06-01 |
description |
Ovarian cancer represents one of the most aggressive gynecological malignancies affecting women worldwide, associated with significant rates of cancer related death within the first years after the initial diagnostic. The poor survival rates are usually explained by the presence of disseminated lesions even from the beginning. In such situations, the digestive tube is one of the most commonly involved territory, therefore necessitating extended resections in order to achieve complete cytoreduction. The aim of this paper is to report the case of a 53 year old patient who was diagnosed with peritoneal carcinomatosis from ovarian cancer, presenting multiple levels of digestive tract involvement due to the presence of disseminated tumoral masses. Therefore the patients was submitted to multiple digestive resections represented by parcelar gastrectomy, segmental ileal resection and subtotal colectomy. In order to minimize the risks of developing severe postoperative complications – due to the relatively high number of anastomoses – the continuity of the digestive tract was established by a terminal ileostomy, considering that creation of a ileorectal anastomosis would be too dangerous in the context of multiple digestive resections. The postoperative evolution was simple, the patient being further submitted to adjuvant treatment. |
topic |
ovarian cancer peritoneal carcinomatosis gastric resection bowel resection |
url |
https://rmj.com.ro/articles/2021.2/RMJ_2021_2_Art-28.pdf |
work_keys_str_mv |
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