Morbidity of multiple bowel resection compared to single bowel resection after debulking surgery for ovarian cancer.
Tozzi R., Casarin J., Baysal A., Pinelli C., Matak L., Ghanbarzadeh N., Alazzam M., Garruto-Campanile R., Majd HS., Kilic Y., Morotti M.
OBJECTIVES: To assess the impact of multiple bowel resections on postoperative outcomes in stage IIIC-IV ovarian cancer (OC). METHODS: From the Oxford OC database we retrieved consecutive patients who underwent bowel resection between January 2009 and November 2017. Patients were divided into two groups: single bowel resection (SBR) and MBR (≥2 bowel resections). The following outcomes were compared between the two groups: 30-day related and not related morbidity to bowel surgery, bowel diversion rate and time to start/restart adjuvant chemotherapy. RESULTS: Thirty-five patients were in the MBR and 146 in the SBR group. The 30-day overall surgical-related complication and bowel specific complications rate was higher in MBR group than SBR group (54.3% vs. 23.9%, p