Nicolae Bacalbasa1,2,3, Camelia Diaconu1,4, Laura Iliescu1,5, Alexandru Filipescu1,5, Irina Balescu6,7, Cora Pop8, Simona Dima3, Mihaela Vilcu1,9, Iulian Brezean1,9. 1. Department of Obstetrics and Gynecology, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania. 2. Department of Obstetrics and Gynecology, "I. Cantacuzino" Clinical Hospital, Bucharest, Romania. 3. Department of Visceral Surgery, Center of Excellence in Translational Medicine "Fundeni" Clinical Institute, Bucharest, Romania. 4. Department of Internal Medicine, Clinical Emergency Hospital, Bucharest, Romania. 5. Department of Internal Medicine, "Fundeni" Clinical Institute, Bucharest, Romania. 6. Department of Surgery, "Ponderas" Academic Hospital, Bucharest, Romania irina.balescu@ponderas-ah.ro. 7. Department of Surgery, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania. 8. Department of Internal Medicine, University Emergency Hospital Bucharest, Bucharest, Romania. 9. Department of Visceral Surgery, "I. Cantacuzino" Clinical Hospital, Bucharest, Romania.
Abstract
BACKGROUND/AIM: The right upper abdominal involvement is frequently encountered in patients with advanced stage ovarian cancer. The aim of this paper is to study the safety and efficacy of extended resections at this level as well as to determine the sites of residual disease. PATIENTS AND METHODS: Between January 2016 and December 2019, 26 patients submitted to right upper abdominal resections were identified. RESULTS: Peritoneal stripping and full thickness resections were the most commonly performed resections (in 57% and 19% of cases, respectively), followed by capsular liver resection and atypical liver resection (in 30% and 23% of cases, respectively) while the most common sites where resection was incomplete were the liver pedicle and porta hepatis. Exceptionally, one case necessitated performing a pancreatoduodenectomy as part of debulking surgery. Postoperatively, two cases developed serious complications and required reintervention; however, the overall mortality was null. CONCLUSION: Right upper abdominal resections seem to be feasible and effective in order to maximize the debulking effort with acceptable risks arising from perioperative complications. Copyright
BACKGROUND/AIM: The right upper abdominal involvement is frequently encountered in patients with advanced stage ovarian cancer. The aim of this paper is to study the safety and efficacy of extended resections at this level as well as to determine the sites of residual disease. PATIENTS AND METHODS: Between January 2016 and December 2019, 26 patients submitted to right upper abdominal resections were identified. RESULTS: Peritoneal stripping and full thickness resections were the most commonly performed resections (in 57% and 19% of cases, respectively), followed by capsular liver resection and atypical liver resection (in 30% and 23% of cases, respectively) while the most common sites where resection was incomplete were the liver pedicle and porta hepatis. Exceptionally, one case necessitated performing a pancreatoduodenectomy as part of debulking surgery. Postoperatively, two cases developed serious complications and required reintervention; however, the overall mortality was null. CONCLUSION: Right upper abdominal resections seem to be feasible and effective in order to maximize the debulking effort with acceptable risks arising from perioperative complications. Copyright
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