Efficacy of Transanal Drainage Tube Placement After Modified Posterior Pelvic Exenteration for Primary Ovarian Cancer.

Abstract

OBJECTIVE:

The aim of this study was to investigate the clinical usefulness of the placement of a transanal drainage tube (TDT) to prevent anastomotic leakage after a modified posterior pelvic exenteration (MPPE) for the treatment of primary ovarian cancer.

METHODS:

We performed a retrospective review of all the consecutive patients who had undergone an MPPE for primary ovarian, tubal, or peritoneal cancer between October 2012 and November 2016 at our institution. Patient-related, disease-related, and surgery-related data were collected.

RESULTS:

One hundred five patients who underwent an MPPE were included in this study. A TDT was placed in all the patients. A diverting ileostomy was created during cytoreductive surgery in 7 patients (7%). Those who underwent a diverting ileostomy tended to have a greater degree of surgical invasiveness, as was reflected by a longer operative time, a serious loss of blood, and a large quantity of intraoperative blood transfusion. Anastomotic leakage occurred in 1 patient (1%), and a diverting ileostomy was created for this patient.

CONCLUSIONS:

Transanal drainage tube placement seems to be an effective and safe procedure that can decrease the rate of anastomotic leakage and the need for a diverting stoma after MPPE for ovarian cancer. However, some patients inevitably require a diverting stoma despite the TDT placement.

• Authors: Kazuyoshi Kato, Kohei Omatsu, Maki Matoda, Hidetaka Nomura, Sanshiro Okamoto, Hiroyuki Kanao, Kuniko Utsugi, Nobuhiro Takeshima
• Journal: International journal of gynecological cancer : official journal of the International Gynecological Cancer Society (Int J Gynecol Cancer) Vol. 28 Issue 2 Pg. 220-225 (02 2018) ISSN: 1525-1438 [Electronic] England
• PMID: 29240601 (Publication Type: Journal Article)

Topics

• Adult
• Aged
• Aged, 80 and over
• Anal Canal (pathology, surgery)
• Anastomosis, Surgical (adverse effects, methods)
• Anastomotic Leak (epidemiology, prevention & control)
• Catheterization (adverse effects, instrumentation, methods)
• Drainage (adverse effects, instrumentation, methods)
• Female
• Humans
• Middle Aged
• Ovarian Neoplasms (epidemiology, surgery)
• Pelvic Exenteration (adverse effects, instrumentation, methods)
• Postoperative Complications (epidemiology, etiology)
• Retrospective Studies
• Treatment Outcome