Nicolae Bacalbasa1,2,3, Camelia Diaconu1,4, Laura Iliescu1,5, Cornel Savu1,6, Ovidiu Gabriel Bratu1,7, Ciprian Bolca6, Dragos Cretoiu1,8, Alexandru Filipescu1,9, Simona Dima3, Cristian Balalau1,10, Irina Balescu11. 1. "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, University Emergency Hospital Bucharest, Bucharest, Romania. 5. Department of Internal Medicine, "Fundeni" Clinical Institute, Bucharest, Romania. 6. Department of Thoracic Surgery, "Marius Nasta" Institute of Pneumonology, Bucharest, Romania. 7. Department of Urology, Emergency Central Military Hospital, Academy of Romanian Scientists, Bucharest, Romania. 8. "Alessandrescu-Rusescu" National Institute of Mother and Child Health, Fetal Medicine Excellence Research Center, Bucharest, Romania. 9. Department of Obstetrics and Gynecology, "Elias" Emergency Hospital, Bucharest, Romania. 10. Department of Surgery, "Pantelimon" Clinical Hospital, Bucharest, Romania. 11. Department of Surgery, "Ponderas" Academic Hospital, Bucharest, Romania irina.balescu@ponderas-ah.ro.
Abstract
BACKGROUND/AIM: The presence of "omental cake" has been considered since long as a negative prognostic factor in patients diagnosed with advanced-stage ovarian cancer. The aim of this paper was to study the impact of "omental cake" presence on the perioperative outcomes in advanced-stage ovarian cancer. PATIENTS AND METHODS: Between 2015 and 2020, 85 patients were submitted to surgery for advanced-stage ovarian cancer. RESULTS: Among cases diagnosed with "omental cake" the rate of complete cytoreduction was significantly diminished when compared to cases in which this entity was not revealed. In the meantime, the presence of omental cake among cases in which complete debulking was achievable was significantly associated with a higher number of digestive resections when compared to the other cases submitted to surgery and in which tumoral transformation of the omentum was encountered. CONCLUSION: The presence of "omental cake" is associated with a higher rate of incomplete resections. However, in cases in which complete debulking was achieved, the presence of omental cake was associated with a significantly higher number of digestive tract resections. Copyright
BACKGROUND/AIM: The presence of "omental cake" has been considered since long as a negative prognostic factor in patients diagnosed with advanced-stage ovarian cancer. The aim of this paper was to study the impact of "omental cake" presence on the perioperative outcomes in advanced-stage ovarian cancer. PATIENTS AND METHODS: Between 2015 and 2020, 85 patients were submitted to surgery for advanced-stage ovarian cancer. RESULTS: Among cases diagnosed with "omental cake" the rate of complete cytoreduction was significantly diminished when compared to cases in which this entity was not revealed. In the meantime, the presence of omental cake among cases in which complete debulking was achievable was significantly associated with a higher number of digestive resections when compared to the other cases submitted to surgery and in which tumoral transformation of the omentum was encountered. CONCLUSION: The presence of "omental cake" is associated with a higher rate of incomplete resections. However, in cases in which complete debulking was achieved, the presence of omental cake was associated with a significantly higher number of digestive tract resections. Copyright
Authors: Pierre A Clavien; Jeffrey Barkun; Michelle L de Oliveira; Jean Nicolas Vauthey; Daniel Dindo; Richard D Schulick; Eduardo de Santibañes; Juan Pekolj; Ksenija Slankamenac; Claudio Bassi; Rolf Graf; René Vonlanthen; Robert Padbury; John L Cameron; Masatoshi Makuuchi Journal: Ann Surg Date: 2009-08 Impact factor: 12.969
Authors: J Ferlay; E Steliarova-Foucher; J Lortet-Tieulent; S Rosso; J W W Coebergh; H Comber; D Forman; F Bray Journal: Eur J Cancer Date: 2013-02-26 Impact factor: 9.162