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Outcomes of colorectal anastomoses during pelvic exenteration for gynaecological malignancy
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Lim, S.-W. | - |
dc.contributor.author | Lim, S.-B. | - |
dc.contributor.author | Park, J.-Y. | - |
dc.contributor.author | Park, S.-Y. | - |
dc.contributor.author | Choi, H. S. | - |
dc.contributor.author | Jeong, S.-Y. | - |
dc.date.accessioned | 2010-04-09T05:33:25Z | - |
dc.date.available | 2010-04-09T05:33:25Z | - |
dc.date.issued | 2008-04-18 | - |
dc.identifier.citation | Br J Surg. 2008 ;95(6):770-3. | en |
dc.identifier.issn | 1365-2168 (Electronic) | - |
dc.identifier.issn | 0007-1323 (Print) | - |
dc.identifier.uri | https://hdl.handle.net/10371/62843 | - |
dc.description.abstract | BACKGROUND: Although pelvic exenteration is frequently indicated during surgery for gynaecological malignancy, performing a colorectal anastomosis remains contentious because of concern about leakage. This study evaluated the safety of performing a low colorectal anastomosis during pelvic exenteration for gynaecological malignancy. METHODS: Between April 2001 and December 2006, 145 consecutive patients underwent low colorectal anastomosis without (122) or with (23) a stoma after pelvic exenteration for advanced primary or recurrent gynaecological malignancy. Subjects were assessed in terms of five patient-, four disease- and two surgery-related variables. The proportion of patients with each risk factor for leakage was found, and the rate of symptomatic anastomotic leakage was determined. RESULTS: The mean age of the patients was 53.5 (range 10-77) years and the most common diagnosis was ovarian cancer (77.9 per cent). The mean operating time was 453 (range 145-845) min and the mean blood loss was 1080 (range 110-10 500) ml; 95 patients (65.5 per cent) required a blood transfusion. Of the 145 patients, 81 (55.9 per cent) had patient-related, 94 (64.8 per cent) had disease-related and 67 (46.2 per cent) had surgery-related variables associated with a risk of leakage. Symptomatic anastomotic leakage developed in three patients (2.1 per cent). CONCLUSION: Although patients with gynaecological malignancy carry considerable risks associated with anastomotic leakage, carefully executed low colorectal anastomosis during pelvic exenteration was found to be safe. | en |
dc.language.iso | en | en |
dc.publisher | Wiley-Blackwell | en |
dc.subject | Adolescent | en |
dc.subject | Aged | en |
dc.subject | Anastomosis, Surgical | en |
dc.subject | Blood Loss, Surgical | en |
dc.subject | Child | en |
dc.subject | Colon/*surgery | en |
dc.subject | Female | en |
dc.subject | Genital Neoplasms, Female/*surgery | en |
dc.subject | Humans | en |
dc.subject | Length of Stay | en |
dc.subject | Middle Aged | en |
dc.subject | Pelvic Exenteration/*methods | en |
dc.subject | Rectum/*surgery | en |
dc.subject | Risk Factors | en |
dc.subject | Surgical Wound Dehiscence/etiology | en |
dc.subject | Treatment Outcome | en |
dc.title | Outcomes of colorectal anastomoses during pelvic exenteration for gynaecological malignancy | en |
dc.type | Article | en |
dc.identifier.doi | 10.1002/bjs.6135 | - |
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