10 Intestinal metastasis and operation in ovarian cancer: a report on 62 cases

Surgical implications of mesenteric lymph node metastasis from advanced ovarian cancer after bowel resection

“…As ovarian cancer spreads onto the peritoneal surface, the tumor implants usually involve serosal visceral organs 40 and subsequently invade the intestinal wall. Wu et al 41 observed invasion into the mucosa in 21% of cases. Dvoretsky et al 42 analyzed 100 autopsies and noted wall invasion in 74% of small bowels and 71% of large bowels.…”

Cytoreductive surgery combined with organ resection for advanced ovarian carcinoma

“…Concomitant resection of these organs may significantly increase the surgery time, blood loss, and post-operative complications, and may result in deterioration of the patient's QOL. Intestinal metastasis is often found in patients with advanced ovarian carcinoma: Wu et al 10 reported that 62 (28.1%) of 221 patients with ovarian carcinoma had intestinal metastatic tumors of more than 2cm in diameter. Sonnendecker and Beale 11 reported that 31 (30.4%) of 102 patients with ovarian carcinoma who underwent primary surgery required enterectomy.…”

“…With regard to the risks of postoperative complications, morbidity rates of 19%-33% [12][13][14][15] and mortality rates of 0-9% [10][11][12][13][14][15] have been reported and are generally considered acceptable. Castaldo et al 16 have shown that small-intestinal resection or prior radiation therapy tended to increase complications more than did large-intestinal resection alone.…”

Can bowel endoscopy predict colorectal surgery in patients with an adnexal mass?

“…Surgery could be planned more accurately and the patient counselled accordingly. At several institutions, including ours, a significant proportion of patients have undergone preoperative bowel examination (4,6,7,9,14,15) and this policy has been a topic of discussion with the local colorectal surgeons.…”

“…Optimal surgical debulking entails bowel resection in up to one half of patients undergoing surgery for this disease, and rectosigmoid resections are the most common bowel procedures at primary operations (1)(2)(3)(4)(5) . Only a few investigators have studied preoperative sigmoidoscopy or colonoscopy in patients with suspected ovarian cancer (6)(7)(8)(9)(10) .…”