지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2008.4
- 수록면
- 237 - 242 (6page)
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초록· 키워드
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Purpose: Resection of the bowel or solid organs may be required for pelvic tumor surgery. The present study was performed to assess combined surgical procedures and determine the role of the general surgeon in gynecologic oncology surgery
Methods: We performed a retrospective study of 135 patients with gynecologic malignancy who underwent a combined operation with a general surgeon between January 2000 and December 2005 at Asan Medical Center. The purpose of the combined operation was categorized into 3 groups: a tumor debulking operation, a resolution of intraoperative complications by a gynecologic surgeon, or an intraoperative diagnostic change.
Results: The incidence of combined operations for debulking, resolution of intraoperative complications, and intraoperative diagnostic changes were 103 cases (76.3%), 22 cases (16.3%), and 10 cases (7.4%), respectively. Ovarian cancer was the most common gynecologic malignancy (74.1%) and the rate of a combined operation with a general surgeon in ovarian cancer was 18.5% during the time period. Colorectal resection was the most common procedure by a colorectal surgeon (61.5%). Twenty four patients (17.8%) experienced postoperative complications, including ileus, wound infection, pancreas leakage, and stomal necrosis, with no significant differences according to the purpose of combined operation, pathologic diagnosis, or bowel preparation. The rate of a preoperative consultation to a general surgeon by gynecologic surgeons in cases with colorectal or solid organ invasion preoperatively was 53.2%.
Conclusion: A general surgeon is an important consultant in a debulking operation of gynecologic malignancies, especially ovarian cancer, or treatment of complications. Thorough preoperative evaluation, bowel preparation, and preoperative consultation to a general surgeon is important in gynecologic oncology surgery.
Methods: We performed a retrospective study of 135 patients with gynecologic malignancy who underwent a combined operation with a general surgeon between January 2000 and December 2005 at Asan Medical Center. The purpose of the combined operation was categorized into 3 groups: a tumor debulking operation, a resolution of intraoperative complications by a gynecologic surgeon, or an intraoperative diagnostic change.
Results: The incidence of combined operations for debulking, resolution of intraoperative complications, and intraoperative diagnostic changes were 103 cases (76.3%), 22 cases (16.3%), and 10 cases (7.4%), respectively. Ovarian cancer was the most common gynecologic malignancy (74.1%) and the rate of a combined operation with a general surgeon in ovarian cancer was 18.5% during the time period. Colorectal resection was the most common procedure by a colorectal surgeon (61.5%). Twenty four patients (17.8%) experienced postoperative complications, including ileus, wound infection, pancreas leakage, and stomal necrosis, with no significant differences according to the purpose of combined operation, pathologic diagnosis, or bowel preparation. The rate of a preoperative consultation to a general surgeon by gynecologic surgeons in cases with colorectal or solid organ invasion preoperatively was 53.2%.
Conclusion: A general surgeon is an important consultant in a debulking operation of gynecologic malignancies, especially ovarian cancer, or treatment of complications. Thorough preoperative evaluation, bowel preparation, and preoperative consultation to a general surgeon is important in gynecologic oncology surgery.
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REFERENCES
참고문헌 (30)
참고문헌 신청
1. [학술지(정기간행물)] - Hughes SH / 2005 / Radical gynecologic surgery for cancer / Surg Oncol Clin N Am 14 : 607 ~ 631
2. [학술지(정기간행물)] - Szucs RA / 1996 / Gastrointestinal tract involvement by gynecologic diseases / Radiographics 16 : 1251 ~ 1270
3. [학술지(정기간행물)] - Bristow RE / 2002 / Trimble EL, Montz FJ. Survival effect of maximal cytoreductive surgery for advanced ovarian carcinoma during the platinum era: a meta-analysis / J Clin Oncol 20 : 1248 ~ 1259
4. [학술지(정기간행물)] - Gillette-Cloven N / 200 / Bowel resection at the time of primary cytoreduction for epithelial ovarian cancer / J Am Coll Surg 193 : 626 ~ 632
5. [학술지(정기간행물)] - Tamussino KF / 2001 / Lesnick TG. Gastrointestinal surgery in patients with ovarian cancer / Gynecol Oncol 80 : 79 ~ 84
2. [학술지(정기간행물)] - Szucs RA / 1996 / Gastrointestinal tract involvement by gynecologic diseases / Radiographics 16 : 1251 ~ 1270
3. [학술지(정기간행물)] - Bristow RE / 2002 / Trimble EL, Montz FJ. Survival effect of maximal cytoreductive surgery for advanced ovarian carcinoma during the platinum era: a meta-analysis / J Clin Oncol 20 : 1248 ~ 1259
4. [학술지(정기간행물)] - Gillette-Cloven N / 200 / Bowel resection at the time of primary cytoreduction for epithelial ovarian cancer / J Am Coll Surg 193 : 626 ~ 632
5. [학술지(정기간행물)] - Tamussino KF / 2001 / Lesnick TG. Gastrointestinal surgery in patients with ovarian cancer / Gynecol Oncol 80 : 79 ~ 84
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UCI(KEPA) : I410-ECN-0101-2013-514-002693272