[Digestive Surgery Intervention for Gynecological Malignant Tumor]

Area of Science:

• Gynecologic Oncology
• Surgical Oncology
• Gastrointestinal Surgery

Background:

• Gynecological cancers often require complex surgical management.
• Multidisciplinary surgical approaches involving gynecologists and digestive surgeons are sometimes necessary.

Purpose of the Study:

• To evaluate surgical outcomes in patients with gynecological cancers treated by gynecologists and digestive surgeons.
• To assess the impact of surgical interventions, including intestinal resection, on prognosis.

Main Methods:

• Retrospective analysis of 73 patients with gynecological malignant tumors (2010-2014).
• Data collected included diagnosis, procedures, complications, stoma use, hospital stay, and prognosis.
• Key procedures involved intestinal resection with anastomosis in 34.2% and stoma formation in 30.1% of patients.

Main Results:

• Ovarian cancer was the most common diagnosis (76.7%), with advanced stages prevalent.
• Median operative time was 252 minutes, with a median blood loss of 1,190 mL.
• Postoperative complications included ileus (8.2%), pelvic abscess (5.5%), and anastomotic leakage (2.7%). Median survival for ovarian cancer patients was 1,399 days.

Conclusions:

• Tumor debulking, encompassing intestinal tract resection, appears to correlate with prolonged survival in gynecological tumors.
• Stoma closure presented difficulties within this study cohort.