Comparison of posterior rectal dissection techniques during rectosigmoid colon resection as part of cytoreductive surgery in patients with epithelial ovarian cancer: Close rectal dissection vs total mesorectal excision
Gynecologic Oncology Apr 27, 2019
Son JH, et al. - Among patients with epithelial ovarian cancer, researchers assessed the clinical results of close rectal dissection (CRD) vs those of total mesorectal excision (TME) as the posterior rectal dissection procedure during rectosigmoid colectomy performed as part of cytoreductive surgery. The medical records of 163 patients were retrospectively reviewed who had posterior rectal dissection for rectosigmoid resection, including low anterior resection or subtotal colectomy, as part of ovarian cancer surgery from 2006 to 2018. According to results, CRD displayed a low rate of anastomotic leakage and less frequent prolonged ileus vs the traditional TME technique. There was no difference between the 2 groups in pelvic recurrence and progression-free survival. With less perioperative morbidity and equivalent oncological outcomes, CRD may be an alternative technique for rectal dissection in ovarian cancer.
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