Colonic surgery in gynecologic oncology. Risk factor analysis.
Colonic surgery is a critical part of gynecologic oncology care. A 12-year review of colonic surgery on a gynecologic oncology service was performed evaluating risk factors and their impact on postoperative morbidity. There were 124 procedures performed on 92 patients; 9 patients had no prior surgery, chemotherapy or radiation. Fifty-six percent of the patients were considered malnourished on the basis of a serum albumin level < 3.5 g/dL. The 124 procedures consisted of 57 colon resections with primary reanastomosis, 10 small bowel-colon bypass procedures and 57 colostomies. Of the 57 (67%) colostomy operations, 38 also had concomitant abdominal-pelvic procedures. There were 15 major bowel complications and 17 major systemic postoperative complications. Prior surgery and poor nutritional status significantly correlated with postoperative morbidity; however, prior radiation did not reveal an increased risk for postoperative complications.
Burnett
A F
AF
Department of Obstetrics and Gynecology, Lombardi Cancer Center, Georgetown University School of Medicine, Washington, D.C.
Potkul
R K
RK
Barter
J F
JF
Barnes
W A
WA
Delgado
G
G
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D003106:Colon / Q000601:surgery*; D003108:Colonic Diseases / Q000150:complications / Q000601:surgery; D003125:Colostomy; D005260:Female; D005833:Genital Neoplasms, Female / Q000150:complications*; D006801:Humans; D008875:Middle Aged; D009752:Nutritional Status; D011183:Postoperative Complications; D012189:Retrospective Studies; D012307:Risk Factors