The correlation between the extent of left upper abdominal resections and perioperative outcomes in advanced stage and relapsed ovarian cancer
The aim of this study is to analyze the feasibility and safety of left upper abdominal resections as part of debulking surgery. Case series presentation. Between January 2015 and August 2019, 32 patients were submitted to left upper abdominal resections. Left upper abdominal resections were performe...
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doaj-f7cc087f0f9947509fe438f9fd27d3da2021-09-02T21:33:27ZengAmaltea Medical Publishing HouseRomanian Journal of Medical Practice1842-82582069-61082020-03-0115110611110.37897/RJMP.2020.1.20The correlation between the extent of left upper abdominal resections and perioperative outcomes in advanced stage and relapsed ovarian cancerNicolae BACALBASA0Irina BALESCU1Camelia DIACONU2Simona DIMA3Laura ILIESCU4Mihai DIMITRIU5Mihaela VILCU6Alexandru FILIPESCU7Ioana HALMACIU8Dragos CRETOIU9Iulian BREZEAN10“Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania; “I. Cantacuzino” Clinical Hospital, Bucharest, Romania; Center of Excellence in Translational Medicine, “Fundeni” Clinical Institute, Bucharest, Romania“Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania; “Ponderas” Academic Hospital, Bucharest, Romania“Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania; “Floreasca” Clinical Emergency Hospital, Bucharest, RomaniaCenter of Excellence in Translational Medicine, “Fundeni” Clinical Institute, Bucharest, Romania “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania; “Fundeni” Clinical Institute, Bucharest, Romania“Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania; “St Pantelimon” Emergency Hospital, Bucharest, Romania“Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania; “I. Cantacuzino” Clinical Hospital, Bucharest, Romania“Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania; “Elias” Emergency Hospital, Bucharest, Romania“George Emil Palade” University of Medicine, Pharmacy, Science and Technology, Tg. Mureş, Romania“Alessandrescu-Rusescu” National Institute of Mother and Child Health, Fetal Medicine Excellence Research Center, Bucharest, Romania; Department of Cell and Molecular Biology and Histology, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania“Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania; “I. Cantacuzino” Clinical Hospital, Bucharest, RomaniaThe aim of this study is to analyze the feasibility and safety of left upper abdominal resections as part of debulking surgery. Case series presentation. Between January 2015 and August 2019, 32 patients were submitted to left upper abdominal resections. Left upper abdominal resections were performed as part of primary cytoreduction in 22 cases, as part of secondary cytoreduction in eight cases, and respectively as part of tertiary cytoreduction in two cases. The complexity of the resection increased from primary to secondary and tertiary cytoreduction; in the meantime, the rates of postoperative complications also increased with the attempt of cytoreduction. Therefore the postoperative morbidity rate was of 27% at the time of primary cytoreduction, 37.5% at the time of secondary cytoreduction and 50% at the time of tertiary cytoreduction. However, association of left upper abdominal resections leaded to a complete resection rate of 77% at the time of primary cytoreduction, 62.5% at the time of secondary cytoreduction and 50% at the time of tertiary cytoreduction. Conclusions. Left upper abdominal resections might increase the rates of complete debulking in the setting of advanced stage or relapsed ovarian cancer. However the complexity of procedures and the risk of postoperative complications increase with the number of attempts of debulking.https://rjmp.com.ro/articles/2020.1/RJMP_2020_1_Art-20.pdfleft upper abdominal resectionsdebulking surgeryadvanced stage or relapsed ovarian cancer |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Nicolae BACALBASA Irina BALESCU Camelia DIACONU Simona DIMA Laura ILIESCU Mihai DIMITRIU Mihaela VILCU Alexandru FILIPESCU Ioana HALMACIU Dragos CRETOIU Iulian BREZEAN |
spellingShingle |
Nicolae BACALBASA Irina BALESCU Camelia DIACONU Simona DIMA Laura ILIESCU Mihai DIMITRIU Mihaela VILCU Alexandru FILIPESCU Ioana HALMACIU Dragos CRETOIU Iulian BREZEAN The correlation between the extent of left upper abdominal resections and perioperative outcomes in advanced stage and relapsed ovarian cancer Romanian Journal of Medical Practice left upper abdominal resections debulking surgery advanced stage or relapsed ovarian cancer |
author_facet |
Nicolae BACALBASA Irina BALESCU Camelia DIACONU Simona DIMA Laura ILIESCU Mihai DIMITRIU Mihaela VILCU Alexandru FILIPESCU Ioana HALMACIU Dragos CRETOIU Iulian BREZEAN |
author_sort |
Nicolae BACALBASA |
title |
The correlation between the extent of left upper abdominal resections and perioperative outcomes in advanced stage and relapsed ovarian cancer |
title_short |
The correlation between the extent of left upper abdominal resections and perioperative outcomes in advanced stage and relapsed ovarian cancer |
title_full |
The correlation between the extent of left upper abdominal resections and perioperative outcomes in advanced stage and relapsed ovarian cancer |
title_fullStr |
The correlation between the extent of left upper abdominal resections and perioperative outcomes in advanced stage and relapsed ovarian cancer |
title_full_unstemmed |
The correlation between the extent of left upper abdominal resections and perioperative outcomes in advanced stage and relapsed ovarian cancer |
title_sort |
correlation between the extent of left upper abdominal resections and perioperative outcomes in advanced stage and relapsed ovarian cancer |
publisher |
Amaltea Medical Publishing House |
series |
Romanian Journal of Medical Practice |
issn |
1842-8258 2069-6108 |
publishDate |
2020-03-01 |
description |
The aim of this study is to analyze the feasibility and safety of left upper abdominal resections as part of debulking surgery. Case series presentation. Between January 2015 and August 2019, 32 patients were submitted to left upper abdominal resections. Left upper abdominal resections were performed as part of primary cytoreduction in 22 cases, as part of secondary cytoreduction in eight cases, and respectively as part of tertiary cytoreduction in two cases. The complexity of the resection increased from primary to secondary and tertiary cytoreduction; in the meantime, the rates of postoperative complications also increased with the attempt of cytoreduction. Therefore the postoperative morbidity rate was of 27% at the time of primary cytoreduction, 37.5% at the time of secondary cytoreduction and 50% at the time of tertiary cytoreduction.
However, association of left upper abdominal resections leaded to a complete resection rate of 77% at the time of primary cytoreduction, 62.5% at the time of secondary cytoreduction and 50% at the time of tertiary cytoreduction. Conclusions. Left upper abdominal resections might increase the rates of complete debulking in the setting of advanced stage or relapsed ovarian cancer. However the complexity of procedures and the risk of postoperative complications increase with the number of attempts of debulking. |
topic |
left upper abdominal resections debulking surgery advanced stage or relapsed ovarian cancer |
url |
https://rjmp.com.ro/articles/2020.1/RJMP_2020_1_Art-20.pdf |
work_keys_str_mv |
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