Spandidos Publications Logo
  • About
    • About Spandidos
    • Aims and Scopes
    • Abstracting and Indexing
    • Editorial Policies
    • Reprints and Permissions
    • Job Opportunities
    • Terms and Conditions
    • Contact
  • Journals
    • All Journals
    • Oncology Letters
      • Oncology Letters
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Oncology
      • International Journal of Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular and Clinical Oncology
      • Molecular and Clinical Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Experimental and Therapeutic Medicine
      • Experimental and Therapeutic Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Molecular Medicine
      • International Journal of Molecular Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Biomedical Reports
      • Biomedical Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Reports
      • Oncology Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular Medicine Reports
      • Molecular Medicine Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • World Academy of Sciences Journal
      • World Academy of Sciences Journal
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Functional Nutrition
      • International Journal of Functional Nutrition
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Epigenetics
      • International Journal of Epigenetics
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Medicine International
      • Medicine International
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
  • Articles
  • Information
    • Information for Authors
    • Information for Reviewers
    • Information for Librarians
    • Information for Advertisers
    • Conferences
  • Language Editing
Spandidos Publications Logo
  • About
    • About Spandidos
    • Aims and Scopes
    • Abstracting and Indexing
    • Editorial Policies
    • Reprints and Permissions
    • Job Opportunities
    • Terms and Conditions
    • Contact
  • Journals
    • All Journals
    • Biomedical Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Experimental and Therapeutic Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Epigenetics
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Functional Nutrition
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Molecular Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Medicine International
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular and Clinical Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular Medicine Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Letters
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • World Academy of Sciences Journal
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
  • Articles
  • Information
    • For Authors
    • For Reviewers
    • For Librarians
    • For Advertisers
    • Conferences
  • Language Editing
Login Register Submit
  • This site uses cookies
  • You can change your cookie settings at any time by following the instructions in our Cookie Policy. To find out more, you may read our Privacy Policy.

    I agree
Search articles by DOI, keyword, author or affiliation
Search
Advanced Search
presentation
Oncology Letters
Join Editorial Board Propose a Special Issue
Print ISSN: 1792-1074 Online ISSN: 1792-1082
Journal Cover
May-2022 Volume 23 Issue 5

Full Size Image

Sign up for eToc alerts
Recommend to Library

Journals

International Journal of Molecular Medicine

International Journal of Molecular Medicine

International Journal of Molecular Medicine is an international journal devoted to molecular mechanisms of human disease.

International Journal of Oncology

International Journal of Oncology

International Journal of Oncology is an international journal devoted to oncology research and cancer treatment.

Molecular Medicine Reports

Molecular Medicine Reports

Covers molecular medicine topics such as pharmacology, pathology, genetics, neuroscience, infectious diseases, molecular cardiology, and molecular surgery.

Oncology Reports

Oncology Reports

Oncology Reports is an international journal devoted to fundamental and applied research in Oncology.

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine is an international journal devoted to laboratory and clinical medicine.

Oncology Letters

Oncology Letters

Oncology Letters is an international journal devoted to Experimental and Clinical Oncology.

Biomedical Reports

Biomedical Reports

Explores a wide range of biological and medical fields, including pharmacology, genetics, microbiology, neuroscience, and molecular cardiology.

Molecular and Clinical Oncology

Molecular and Clinical Oncology

International journal addressing all aspects of oncology research, from tumorigenesis and oncogenes to chemotherapy and metastasis.

World Academy of Sciences Journal

World Academy of Sciences Journal

Multidisciplinary open-access journal spanning biochemistry, genetics, neuroscience, environmental health, and synthetic biology.

International Journal of Functional Nutrition

International Journal of Functional Nutrition

Open-access journal combining biochemistry, pharmacology, immunology, and genetics to advance health through functional nutrition.

International Journal of Epigenetics

International Journal of Epigenetics

Publishes open-access research on using epigenetics to advance understanding and treatment of human disease.

Medicine International

Medicine International

An International Open Access Journal Devoted to General Medicine.

Journal Cover
May-2022 Volume 23 Issue 5

Full Size Image

Sign up for eToc alerts
Recommend to Library

  • Article
  • Citations
    • Cite This Article
    • Download Citation
    • Create Citation Alert
    • Remove Citation Alert
    • Cited By
  • Similar Articles
    • Related Articles (in Spandidos Publications)
    • Similar Articles (Google Scholar)
    • Similar Articles (PubMed)
  • Download PDF
  • Download XML
  • View XML

  • Supplementary Files
    • Supplementary_Data.pdf
Article Open Access

Risk factors of perioperative complications and management with enhanced recovery after primary surgery in women with epithelial ovarian carcinoma in a single center

  • Authors:
    • Min Li
    • Tianjiao Zhang
    • Jing Zhu
    • Yuebo Li
    • Wenying Chen
    • Yanhu Xie
    • Wei Zhang
    • Rongzhu Chen
    • Wei Wei
    • Guihong Wang
    • Jiwei Qin
    • Weidong Zhao
    • Dabao Wu
    • Zhen Shen
    • Björn Nashan
    • Ying Zhou
  • View Affiliations / Copyright

    Affiliations: Department of Obstetrics and Gynecology, Core Facility Center, The First Affiliated Hospital of University of Science and Technology of China, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui 230001, P.R. China, Department of Anesthesiology, The First Affiliated Hospital of University of Science and Technology of China, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui 230001, P.R. China, Department of Anesthesiology, The First Affiliated Hospital of University of Science and Technology of China, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui 230001, P.R. China, Department of Operative Nursing, The First Affiliated Hospital of University of Science and Technology of China, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui 230001, P.R. China, Department of Imaging, The First Affiliated Hospital of University of Science and Technology of China, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui 230001, P.R. China, Organ Transplantation Centre, The First Affiliated Hospital of University of Science and Technology of China, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui 230036, P.R. China, Department of Obstetrics and Gynecology, Core Facility Center, The First Affiliated Hospital of University of Science and Technology of China, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui 230001, P.R. China, Organ Transplantation Centre, The First Affiliated Hospital of University of Science and Technology of China, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui 230036, P.R. China
    Copyright: © Li et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 155
    |
    Published online on: March 16, 2022
       https://doi.org/10.3892/ol.2022.13274
  • Expand metrics +
Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )
Cited By (CrossRef): 0 citations Loading Articles...

This article is mentioned in:



Abstract

The present study aimed to evaluate the postoperative complications and the impact of an enhanced recovery programme in patients who underwent primary surgery (including extensive upper abdominal surgery) for epithelial ovarian carcinoma (EOC). All patients with stage I‑IV ovarian carcinoma who underwent primary surgery were identified, and postoperative complications were evaluated and graded according to the Clavien‑Dindo classification. Of 161 patients, 46 (28.57%) underwent surgical staging, 27 (16.77%) standard cytoreduction, 12 (7.45%) en bloc debulking and 76 (47.20%) extraradical debulking. A total of 157 patients (97.52%) achieved optimal tumor reduction (<1 cm). The mean postoperative hospitalization time was 17.33±11.29 days after completion of the initial postoperative chemotherapy (IPC), and the IPC interval was 16.22±10.09 days. A total of 13 patients (8.07%) had grade 3 complications (9 with wound dehiscence, 3 with digestive tract leakage and 1 with a bladder fistula). A total of 2 patients (1.24%) had grade 4‑5 complications [1 patient with severe pneumonia returned to the intensive care unit (ICU) for tracheotomy and respiration rehabilitation; the other patient died of septicemia on day 19]. The multivariate analysis of the preoperative factors revealed that a human epididymis protein 4 (HE4) level of ≥717 pM (P=0.015) and Federation International of Gynecology and Obstetrics (FIGO) stage IV (P=0.004; compared with stage IIIC) were associated with grade 3‑5 complications. The bootstrap analysis revealed that a cancer antigen 125 (CA125) level of ≥1,012 U/ml (P=0.034), a HE4 level of ≥717 pM (P=0.007) and FIGO stage IV (P=0.002; compared with stage IIIC) were significantly associated with grade 3‑5 complications. Meanwhile, the multivariate analysis of the postoperative factors did not reveal any risk factors associated with grade 3‑5 complications; the bootstrap analysis revealed that only transfer to the ICU after surgery (P=0.026) was significantly associated with grade 3‑5 complications. In conclusion, the study found that application of enhanced recovery after surgery protocols is feasible in patients with EOC, especially in those undergoing advanced extensive upper abdominal surgery, and CA125, HE4 and FIGO stage IV were related with the occurrence of adverse perioperative outcomes.
View Figures

Figure 1

Figure 2

View References

1 

Siegel RL, Miller KD and Jemal A: Cancer statistics, 2019. CA Cancer J Clin. 69:7–34. 2019. View Article : Google Scholar : PubMed/NCBI

2 

Huang Z, Zheng Y, Wen W, Wu C, Bao P, Wang C, Zhong W, Gao YT, Jin F, Xiang YB, et al: Incidence and mortality of gynaecological cancers: Secular trends in urban Shanghai, China over 40 years. Eur J Cancer. 63:1–10. 2016. View Article : Google Scholar : PubMed/NCBI

3 

Jemal A, Bray F, Center MM, Ferlay J, Ward E and Forman D: Global cancer statistics. CA Cancer J Clin. 61:69–90. 2011. View Article : Google Scholar : PubMed/NCBI

4 

Høgdall E: Approaches to the detection of ovarian cancer. Scand J Clin Lab Invest Suppl. 245:S49–S53. 2016. View Article : Google Scholar : PubMed/NCBI

5 

Winter WE III, Maxwell GL, Tian C, Carlson JW, Ozols RF, Rose PG, Markman M, Armstrong DK, Muggia F and McGuire WP; Gynecologic Oncology Group Study, : Prognostic factors for stage III epithelial ovarian cancer: A gynecologic oncology group study. J Clin Oncol. 25:3621–3627. 2007. View Article : Google Scholar : PubMed/NCBI

6 

Chi DS, Eisenhauer EL, Lang J, Huh J, Haddad L, Abu-Rustum NR, Sonoda Y, Levine DA, Hensley M and Barakat RR: What is the optimal goal of primary cytoreductive surgery for bulky stage IIIC epithelial ovarian carcinoma (EOC)? Gynecol Oncol. 103:559–564. 2006. View Article : Google Scholar : PubMed/NCBI

7 

Bristow RE, Tomacruz RS, Armstrong DK, Trimble EL and Montz FJ: Survival effect of maximal cytoreductive surgery for advanced ovarian carcinoma during the platinum era: A meta-analysis. J Clin Oncol. 20:1248–1259. 2002. View Article : Google Scholar : PubMed/NCBI

8 

Kehoe SM, Eisenhauer EL and Chi DS: Upper abdominal surgical procedures: Liver mobilization and diaphragm peritonectomy/resection, splenectomy, and distal pancreatectomy. Gynecol Oncol. 111 (Suppl 2):S51–S55. 2008. View Article : Google Scholar : PubMed/NCBI

9 

Eisenhauer EL, Abu-Rustum NR, Sonoda Y, Levine DA, Poynor EA, Aghajanian C, Jarnagin WR, DeMatteo RP, D'Angelica MI, Barakat RR and Chi DS: The addition of extensive upper abdominal surgery to achieve optimal cytoreduction improves survival in patients with stages IIIC-IV epithelial ovarian cancer. Gynecol Oncol. 103:1083–1090. 2006. View Article : Google Scholar : PubMed/NCBI

10 

Hynninen J, Lavonius M, Oksa S, Grénman S, Carpén O and Auranen A: Is perioperative visual estimation of intra-abdominal tumor spread reliable in ovarian cancer surgery after neoadjuvant chemotherapy? Gynecol Oncol. 128:229–232. 2013. View Article : Google Scholar : PubMed/NCBI

11 

Lv X, Cui S, Zhang X and Ren C: Efficacy and safety of neoadjuvant chemotherapy versus primary debulking surgery in patients with ovarian cancer: A meta-analysis. J Gynecol Oncol. 31:e122020. View Article : Google Scholar : PubMed/NCBI

12 

Siesto G, Cavina R, Romano F and Vitobello D: Primary debulking surgery versus neoadjuvant chemotherapy in advanced epithelial ovarian cancer: A propensity-matched analysis. Am J Clin Oncol. 41:280–285. 2018. View Article : Google Scholar : PubMed/NCBI

13 

Chen M, Chen Z, Xu M, Liu D, Liu T, He M and Yao S: Impact of the time interval from neoadjuvant chemotherapy to surgery in primary ovarian, tubal, and peritoneal cancer patients. J Cancer. 9:4087–4091. 2018. View Article : Google Scholar : PubMed/NCBI

14 

Cole AL, Barber EL, Gogate A, Tran AQ and Wheeler SB: Economic analysis of neoadjuvant chemotherapy versus primary debulking surgery for advanced epithelial ovarian cancer using an aggressive surgical paradigm. Int J Gynecol Cancer. 28:1077–1084. 2018. View Article : Google Scholar : PubMed/NCBI

15 

Eisenkop SM, Spirtos NM, Friedman RL, Lin W-CM, Pisani AL and Perticucci S: Relative influences of tumor volume before surgery and the cytoreductive outcome on survival for patients with advanced ovarian cancer: A prospective study. Gynecol Oncol. 90:390–396. 2003. View Article : Google Scholar : PubMed/NCBI

16 

Aletti GD, Dowdy SC, Gostout BS, Jones MB, Stanhope CR, Wilson TO, Podratz KC and Cliby WA: Aggressive surgical effort and improved survival in advanced-stage ovarian cancer. Obstet Gynecol. 107:77–85. 2006. View Article : Google Scholar : PubMed/NCBI

17 

Chi DS, Zivanovic O, Levinson KL, Kolev V, Huh J, Dottino J, Gardner GJ, Leitao MM Jr, Levine DA, Sonoda Y, et al: The incidence of major complications after the performance of extensive upper abdominal surgical procedures during primary cytoreduction of advanced ovarian, tubal, and peritoneal carcinomas. Gynecol Oncol. 119:38–42. 2010. View Article : Google Scholar : PubMed/NCBI

18 

Benedetti Panici P, Di Donato V, Fischetti M, Casorelli A, Perniola G, Musella A, Marchetti C, Palaia I, Berloco P and Muzii L: Predictors of postoperative morbidity after cytoreduction for advanced ovarian cancer: Analysis and management of complications in upper abdominal surgery. Gynecol Oncol. 137:406–411. 2015. View Article : Google Scholar : PubMed/NCBI

19 

Tozzi R, Casarin J, Garruto-Campanile R, Majd HS and Morotti M: Morbidity and reversal rate of ileostomy after bowel resection during visceral-peritoneal debulking (VPD) in patients with stage IIIC-IV ovarian cancer. Gynecol Oncol. 148:74–78. 2018. View Article : Google Scholar : PubMed/NCBI

20 

Phillips A, Sundar S, Singh K, Pounds R, Nevin J, Kehoe S, Balega J and Elattar A: The NICE classification for ‘Ultra-radical (extensive) surgery for advanced ovarian cancer’ guidance does not meaningfully predict postoperative complications: A cohort study. BJOG. 126:96–104. 2019. View Article : Google Scholar : PubMed/NCBI

21 

Prat J; FIGO Committee on Gynecologic Oncology, : FIGO's staging classification for cancer of the ovary, fallopian tube, and peritoneum: Abridged republication. J Gynecol Oncol. 26:87–89. 2015. View Article : Google Scholar : PubMed/NCBI

22 

Wu Y: Overweight and obesity in China. BMJ. 333:362–363. 2006. View Article : Google Scholar : PubMed/NCBI

23 

Querleu D, Planchamp F, Chiva L, Fotopoulou C, Barton D, Cibula D, Aletti G, Carinelli S, Creutzberg C, Davidson B, et al: European society of gynaecological oncology (ESGO) guidelines for ovarian cancer surgery. Int J Gynecol Cancer. 27:1534–1542. 2017. View Article : Google Scholar : PubMed/NCBI

24 

Nelson G, Altman AD, Nick A, Meyer LA, Ramirez PT, Achtari C, Antrobus J, Huang J, Scott M, Wijk L, et al: Guidelines for pre- and intra-operative care in gynecologic/oncology surgery: Enhanced recovery after surgery (ERAS®) society recommendations-part I. Gynecol Oncol. 140:313–322. 2016. View Article : Google Scholar : PubMed/NCBI

25 

Nelson G, Altman AD, Nick A, Meyer LA, Ramirez PT, Achtari C, Antrobus J, Huang J, Scott M, Wijk L, et al: Guidelines for postoperative care in gynecologic/oncology surgery: Enhanced recovery after surgery (ERAS®) society recommendations-part II. Gynecol Oncol. 140:323–332. 2016. View Article : Google Scholar : PubMed/NCBI

26 

Tozzi R, Gubbala K, Majd HS and Campanile RG: Interval laparoscopic en-bloc resection of the pelvis (L-EnBRP) in patients with stage IIIC-IV ovarian cancer: Description of the technique and surgical outcomes. Gynecol Oncol. 142:477–483. 2016. View Article : Google Scholar : PubMed/NCBI

27 

Tozzi R, Hardern K, Gubbala K, Garruto Campanile R and Soleymani Majd H: En-bloc resection of the pelvis (EnBRP) in patients with stage IIIC-IV ovarian cancer: A 10 steps standardised technique. Surgical and survival outcomes of primary vs interval surgery. Gynecol Oncol. 144:564–570. 2017. View Article : Google Scholar : PubMed/NCBI

28 

Aletti GD, Dowdy SC, Podratz KC and Cliby WA: Relationship among surgical complexity, short-term morbidity, and overall survival in primary surgery for advanced ovarian cancer. Am J Obstet Gynecol. 197:676.e1–e7. 2007. View Article : Google Scholar : PubMed/NCBI

29 

Strasberg SM, Linehan DC and Hawkins WG: The accordion severity grading system of surgical complications. Ann Surg. 250:177–186. 2009. View Article : Google Scholar : PubMed/NCBI

30 

Soleymani Majd H, Ferrari F, Manek S, Gubbala K, Campanile RG, Hardern K and Tozzi R: Diaphragmatic peritonectomy vs full thickness resection with pleurectomy during visceral-peritoneal debulking (VPD) in 100 consecutive patients with stage IIIC-IV ovarian cancer: A surgical-histological analysis. Gynecol Oncol. 140:430–435. 2016. View Article : Google Scholar : PubMed/NCBI

31 

Rahbari NN, Weitz J, Hohenberger W, Heald RJ, Moran B, Ulrich A, Holm T, Wong WD, Tiret E, Moriya Y, et al: Definition and grading of anastomotic leakage following anterior resection of the rectum: A proposal by the international study group of rectal cancer. Surgery. 147:339–351. 2010. View Article : Google Scholar : PubMed/NCBI

32 

Gessler B, Eriksson O and Angenete E: Diagnosis, treatment, and consequences of anastomotic leakage in colorectal surgery. Int J Colorectal Dis. 32:549–556. 2017. View Article : Google Scholar : PubMed/NCBI

33 

Bassi C, Marchegiani G, Dervenis C, Sarr M, Abu Hilal M, Adham M, Allen P, Andersson R, Asbun HJ, Besselink MG, et al: The 2016 update of the international study group (ISGPS) definition and grading of postoperative pancreatic fistula: 11 Years after. Surgery. 161:584–591. 2017. View Article : Google Scholar : PubMed/NCBI

34 

Feldheiser A, Aziz O, Baldini G, Cox BP, Fearon KC, Feldman LS, Gan TJ, Kennedy RH, Ljungqvist O, Lobo DN, et al: Enhanced recovery after surgery (ERAS) for gastrointestinal surgery, part 2: Consensus statement for anaesthesia practice. Acta Anaesthesiol Scand. 60:289–334. 2016. View Article : Google Scholar : PubMed/NCBI

35 

Scott MJ, Baldini G, Fearon KC, Feldheiser A, Feldman LS, Gan TJ, Ljungqvist O, Lobo DN, Rockall TA, Schricker T and Carli F: Enhanced recovery after surgery (ERAS) for gastrointestinal surgery, part 1: Pathophysiological considerations. Acta Anaesthesiol Scand. 59:1212–1231. 2015. View Article : Google Scholar : PubMed/NCBI

36 

Labgaa I, Joliat GR, Kefleyesus A, Mantziari S, Schäfer M, Demartines N and Hübner M: Is postoperative decrease of serum albumin an early predictor of complications after major abdominal surgery? A prospective cohort study in a European centre. BMJ Open. 7:e0139662017. View Article : Google Scholar : PubMed/NCBI

37 

Bisch S, Nelson G and Altman A: Impact of nutrition on enhanced recovery after surgery (ERAS) in gynecologic oncology. Nutrients. 11:10882019. View Article : Google Scholar : PubMed/NCBI

38 

Barber EL, Boggess JF, Van Le L, Kim KH, Bae-Jump VL, Brewster WR, Soper JT and Gehrig PA: Association of preoperative thrombocytosis and leukocytosis with postoperative morbidity and mortality among patients with ovarian cancer. Obstet Gynecol. 126:1191–1197. 2015. View Article : Google Scholar : PubMed/NCBI

39 

Lomnytska M, Karlsson E, Jonsdottir B, Lejon AM, Stålberg K, Poromaa IS, Silins I and Graf W: Peritoneal cancer index predicts severe complications after ovarian cancer surgery. Eur J Surg Oncol. 47:2915–2924. 2021. View Article : Google Scholar : PubMed/NCBI

40 

Cham S, Chen L, St Clair CM, Hou JY, Tergas AI, Melamed A, Ananth CV, Neugut AI, Hershman DL and Wright JD: Development and validation of a risk-calculator for adverse perioperative outcomes for women with ovarian cancer. Am J Obstet Gynecol. 220:571.e1–571.e8. 2019. View Article : Google Scholar : PubMed/NCBI

41 

Ataseven B, du Bois A, Reinthaller A, Traut A, Heitz F, Aust S, Prader S, Polterauer S, Harter P and Grimm C: Pre-operative serum albumin is associated with post-operative complication rate and overall survival in patients with epithelial ovarian cancer undergoing cytoreductive surgery. Gynecol Oncol. 138:560–565. 2015. View Article : Google Scholar : PubMed/NCBI

42 

Ge LN and Wang F: Prognostic significance of preoperative serum albumin in epithelial ovarian cancer patients: A systematic review and dose-response meta-analysis of observational studies. Cancer Manag Res. 10:815–825. 2018. View Article : Google Scholar : PubMed/NCBI

43 

Ayhan A, Günakan E, Alyazıcı İ, Haberal N, Altundağ Ö and Dursun P: The preoperative albumin level is an independent prognostic factor for optimally debulked epithelial ovarian cancer. Arch Gynecol Obstet. 296:989–995. 2017. View Article : Google Scholar : PubMed/NCBI

44 

Asher V, Lee J and Bali A: Preoperative serum albumin is an independent prognostic predictor of survival in ovarian cancer. Med Oncol. 29:2005–2009. 2012. View Article : Google Scholar : PubMed/NCBI

45 

Coosemans AN, Baert T, D'Heygere V, Wouters R, DE Laet L, VAN Hoylandt A, Thirion G, Ceusters J, Laenen A, Vandecaveye V and Vergote I: Increased immunosuppression is related to increased amounts of ascites and inferior prognosis in ovarian cancer. Anticancer Res. 39:5953–5962. 2019. View Article : Google Scholar : PubMed/NCBI

46 

Szender JB, Emmons T, Belliotti S, Dickson D, Khan A, Morrell K, Khan ANMN, Singel KL, Mayor PC, Moysich KB, et al: Impact of ascites volume on clinical outcomes in ovarian cancer: A cohort study. Gynecol Oncol. 146:491–497. 2017. View Article : Google Scholar : PubMed/NCBI

47 

Günakan E, Tohma YA, Tunç M, Akıllı H, Şahin H and Ayhan A: Factors associated with surgical morbidity of primary debulking in epithelial ovarian cancer. Obstet Gynecol Sci. 63:64–71. 2020. View Article : Google Scholar : PubMed/NCBI

48 

Bartl T, Schwameis R, Stift A, Bachleitner-Hofmann T, Reinthaller A, Grimm C and Polterauer S: Predictive and prognostic implication of bowel resections during primary cytoreductive surgery in advanced epithelial ovarian cancer. Int J Gynecol Cancer. 28:1664–1671. 2018. View Article : Google Scholar : PubMed/NCBI

49 

Charnley RM: Effect of specialist decision-making on treatment strategies for colorectal liver metastases. Br J Surg. 2012.99:1263–1269. Br J Surg. 99:1269–1270. 2012. View Article : Google Scholar

50 

Eng OS, Raoof M, Blakely AM, Yu X, Lee SJ, Han ES, Wakabayashi MT, Yuh B, Lee B and Dellinger TH: A collaborative surgical approach to upper and lower abdominal cytoreductive surgery in ovarian cancer. J Surg Oncol. 118:121–126. 2018. View Article : Google Scholar : PubMed/NCBI

51 

Jones RP, Vauthey JN, Adam R, Rees M, Berry D, Jackson R, Grimes N, Fenwick SW, Poston GJ and Malik HZ: Effect of specialist decision-making on treatment strategies for colorectal liver metastases. Br J Surg. 99:1263–1269. 2012. View Article : Google Scholar : PubMed/NCBI

52 

Aletti GD, Long HJ, Podratz KC and Cliby WA: Is time to chemotherapy a determinant of prognosis in advanced-stage ovarian cancer? Gynecol Oncol. 104:212–216. 2007. View Article : Google Scholar : PubMed/NCBI

53 

Timmermans M, van der Aa MA, Lalisang RI, Witteveen PO, Van de Vijver KK, Kruitwagen RF and Sonke GS: Interval between debulking surgery and adjuvant chemotherapy is associated with overall survival in patients with advanced ovarian cancer. Gynecol Oncol. 150:446–450. 2018. View Article : Google Scholar : PubMed/NCBI

54 

Alexander M, Beattie-Manning R, Blum R, Byrne J, Hornby C, Kearny C, Love N, McGlashan J, McKiernan S, Milar JL, et al: Guidelines for timely initiation of chemotherapy: A proposed framework for access to medical oncology and haematology cancer clinics and chemotherapy services. Intern Med J. 46:964–969. 2016. View Article : Google Scholar : PubMed/NCBI

55 

Wijk L, Udumyan R, Pache B, Altman AD, Williams LL, Elias KM, McGee J, Wells T, Gramlich L, Holcomb K, et al: International validation of enhanced recovery after surgery society guidelines on enhanced recovery for gynecologic surgery. Am J Obstet Gynecol. 221:237.e1–237.e11. 2019. View Article : Google Scholar : PubMed/NCBI

56 

Kay AH, Venn M, Urban R, Gray HJ and Goff B: Postoperative narcotic use in patients with ovarian cancer on an enhanced recovery after surgery (ERAS) pathway. Gynecol Oncol. 156:624–628. 2020. View Article : Google Scholar : PubMed/NCBI

57 

Dowdy SC: Enhanced recovery after surgery for ovarian cancer. Clin Adv Hematol Oncol. 17:217–219. 2019.PubMed/NCBI

58 

Damania R and Cocieru A: Impact of enhanced recovery after surgery protocols on postoperative morbidity and mortality in patients undergoing routine hepatectomy: Review of the current evidence. Ann Transl Med. 5:3412017. View Article : Google Scholar : PubMed/NCBI

59 

Nelson G, Bakkum-Gamez J, Kalogera E, Glaser G, Altman A, Meyer LA, Taylor JS, Iniesta M, Lasala J, Mena G, et al: Guidelines for perioperative care in gynecologic/oncology: Enhanced recovery after surgery (ERAS) society recommendations-2019 update. Int J Gynecol Cancer. 29:651–668. 2019. View Article : Google Scholar : PubMed/NCBI

60 

Lindemann K, Kok PS, Stockler M, Jaaback K and Brand A: Enhanced recovery after surgery for advanced ovarian cancer: A systematic review of interventions trialed. Int J Gynecol Cancer. 27:1274–1282. 2017. View Article : Google Scholar : PubMed/NCBI

61 

Goulet D, Danilack V and Matteson KA: Enhanced recovery pathways for improving outcomes after minimally invasive gynecologic oncology surgery. Obstet Gynecol. 129:2072017. View Article : Google Scholar : PubMed/NCBI

62 

Chapman JS, Roddy E, Ueda S, Brooks R, Chen LL and Chen LM: Enhanced recovery pathways for improving outcomes after minimally invasive gynecologic oncology surgery. Obstet Gynecol. 128:138–144. 2016. View Article : Google Scholar : PubMed/NCBI

63 

Carter J: Enhanced recovery in gynecologic surgery. Obstet Gynecol. 122:13052013. View Article : Google Scholar : PubMed/NCBI

64 

Kalogera E, Bakkum-Gamez JN, Jankowski CJ, Trabuco E, Lovely JK, Dhanorker S, Grubbs PL, Weaver AL, Haas LR, Borah BJ, et al: Enhanced recovery in gynecologic surgery. Obstet Gynecol. 122:319–328. 2013. View Article : Google Scholar : PubMed/NCBI

65 

Rosa DD, Clamp A, Mullamitha S, Ton NC, Lau S, Byrd L, Clayton R, Slade RJ, Kitchener HC, Shanks JH, et al: The interval from surgery to chemotherapy in the treatment of advanced epithelial ovarian carcinoma. Eur J Surg Oncol. 32:588–591. 2006. View Article : Google Scholar : PubMed/NCBI

66 

Cliby W, Dowdy S, Feitoza SS, Gostout BS and Podratz KC: Diaphragm resection for ovarian cancer: Technique and short-term complications. Gynecol Oncol. 94:655–660. 2004. View Article : Google Scholar : PubMed/NCBI

67 

Ye S, He T, Liang S, Chen X, Wu X, Yang H and Xiang L: Diaphragmatic surgery and related complications in primary cytoreduction for advanced ovarian, tubal, and peritoneal carcinoma. BMC Cancer. 17:3172017. View Article : Google Scholar : PubMed/NCBI

68 

Filippa N, Carricajo A, Grattard F, Fascia P, El Sayed F, Defilippis JP, Berthelot P and Aubert G: Outbreak of multidrug-resistant Klebsiella pneumoniae carrying qnrB1 and blaCTX-M15 in a French intensive care unit. Ann Intensive Care. 3:182013. View Article : Google Scholar : PubMed/NCBI

69 

Rao SSC, Tan G, Abdulla H, Yu S, Larion S and Leelasinjaroen P: Does colectomy predispose to small intestinal bacterial (SIBO) and fungal overgrowth (SIFO)? Clin Transl Gastroenterol. 9:1462018. View Article : Google Scholar : PubMed/NCBI

70 

Shichinohe T, Sasaki T, Kitashiro S, Morita T, Ono K, Senmaru N, Ikeda J, Kojima T, Kyogoku N, Yamada H, et al: Impact of elemental diet on early recovery after laparoscopic colectomy: Findings of a randomized controlled trial. Surg Today. 47:166–173. 2017. View Article : Google Scholar : PubMed/NCBI

71 

Garcia-Granero A, Frasson M, Flor-Lorente B, Blanco F, Puga R, Carratalá A and Garcia-Granero E: Procalcitonin and C-reactive protein as early predictors of anastomotic leak in colorectal surgery: A prospective observational study. Dis Colon Rectum. 56:475–483. 2013. View Article : Google Scholar : PubMed/NCBI

72 

Son JH, Kong TW, Paek J, Chang SJ and Ryu HS: Perioperative outcomes of extensive bowel resection during cytoreductive surgery in patients with advanced ovarian cancer. J Surg Oncol. 119:1011–1015. 2019. View Article : Google Scholar : PubMed/NCBI

73 

Spetzler VN, Schepers M, Pinnschmidt HO, Fischer L, Nashan B and Li J: The incidence and severity of post-hepatectomy bile leaks is affected by surgical indications, preoperative chemotherapy, and surgical procedures. Hepatobiliary Surg Nutr. 8:101–110. 2019. View Article : Google Scholar : PubMed/NCBI

74 

Nashan B and Citterio F: Wound healing complications and the use of mammalian target of rapamycin inhibitors in kidney transplantation: A critical review of the literature. Transplantation. 94:547–561. 2012. View Article : Google Scholar : PubMed/NCBI

75 

Sánchez-Iglesias JL, Gómez-Hidalgo NR, Pérez-Benavente A, Carbonell-Socias M, Manrique-Muñoz S, Serrano MP, Gutiérrez-Barceló P, Bradbury M, Nelson G and Gil-Moreno A: Importance of enhanced recovery after surgery (ERAS) protocol compliance for length of stay in ovarian cancer surgery. Ann Surg Oncol. 28:8979–8986. 2021. View Article : Google Scholar : PubMed/NCBI

76 

Reuter S, Woelber L, Trepte CC, Perez D, Zapf A, Cevirme S, Mueller V, Schmalfeldt B and Jaeger A: The impact of enhanced recovery after surgery (ERAS) pathways with regard to perioperative outcome in patients with ovarian cancer. Arch Gynecol Obstet. Dec 27–2021.(Epub ahead of print). View Article : Google Scholar

77 

Agarwal R, Rajanbabu A, Nitu PV, Goel G, Madhusudanan L and Unnikrishnan UG: A prospective study evaluating the impact of implementing the ERAS protocol on patients undergoing surgery for advanced ovarian cancer. Int J Gynecol Cancer. 29:605–612. 2019. View Article : Google Scholar : PubMed/NCBI

78 

Meyer LA, Shi Q, Lasala J, Iniesta MD, Lin HK, Nick AM, Williams L, Sun C, Wang XS, Lu KH and Ramirez PT: Comparison of patient reported symptom burden on an enhanced recovery after surgery (ERAS) care pathway in patients with ovarian cancer undergoing primary vs interval tumor reductive surgery. Gynecol Oncol. 152:501–508. 2019. View Article : Google Scholar : PubMed/NCBI

79 

Tankou JI, Foley O, Falzone M, Kalyanaraman R and Elias KM: Enhanced recovery after surgery protocols improve time to return to intended oncology treatment following interval cytoreductive surgery for advanced gynecologic cancers. Int J Gynecol Cancer. 31:1145–1153. 2021. View Article : Google Scholar : PubMed/NCBI

80 

Duzgun O: Evaluation of enhanced recovery after following a surgical protocol for cytoreductive surgery and hyperthermic intraperitoneal chemotherapy for peritoneal carcinomatosis. Med Arch. 73:331–337. 2019. View Article : Google Scholar : PubMed/NCBI

81 

Noh JJ, Kim MS and Lee YY: The implementation of enhanced recovery after surgery protocols in ovarian malignancy surgery. Gland Surg. 10:1182–1194. 2021. View Article : Google Scholar : PubMed/NCBI

82 

Sánchez-Iglesias JL, Carbonell-Socias M, Pérez-Benavente MA, Monreal Clua S, Manrique-Muñoz S, García Gorriz M, Burgos-Peláez R, Segurola Gurrutxaga H, Pamies Serrano M, Pilar Gutiérrez-Barceló MD, et al: PROFAST: A randomised trial implementing enhanced recovery after surgery for highcomplexity advanced ovarian cancer surgery. Eur J Cancer. 136:149–158. 2020. View Article : Google Scholar : PubMed/NCBI

83 

Bisch SP, Kooy J, Glaze S, Cameron A, Chu P, Ghatage P, Nation J, Nelson G and Fitzmaurice GM: Impact of transversus abdominis plane blocks versus non-steroidal anti-inflammatory on post-operative opioid use in ERAS ovarian cancer surgery. Int J Gynecol Cancer. 29:1372–1376. 2019. View Article : Google Scholar : PubMed/NCBI

Related Articles

  • Abstract
  • View
  • Download
  • Twitter
Copy and paste a formatted citation
Spandidos Publications style
Li M, Zhang T, Zhu J, Li Y, Chen W, Xie Y, Zhang W, Chen R, Wei W, Wang G, Wang G, et al: Risk factors of perioperative complications and management with enhanced recovery after primary surgery in women with epithelial ovarian carcinoma in a single center. Oncol Lett 23: 155, 2022.
APA
Li, M., Zhang, T., Zhu, J., Li, Y., Chen, W., Xie, Y. ... Zhou, Y. (2022). Risk factors of perioperative complications and management with enhanced recovery after primary surgery in women with epithelial ovarian carcinoma in a single center. Oncology Letters, 23, 155. https://doi.org/10.3892/ol.2022.13274
MLA
Li, M., Zhang, T., Zhu, J., Li, Y., Chen, W., Xie, Y., Zhang, W., Chen, R., Wei, W., Wang, G., Qin, J., Zhao, W., Wu, D., Shen, Z., Nashan, B., Zhou, Y."Risk factors of perioperative complications and management with enhanced recovery after primary surgery in women with epithelial ovarian carcinoma in a single center". Oncology Letters 23.5 (2022): 155.
Chicago
Li, M., Zhang, T., Zhu, J., Li, Y., Chen, W., Xie, Y., Zhang, W., Chen, R., Wei, W., Wang, G., Qin, J., Zhao, W., Wu, D., Shen, Z., Nashan, B., Zhou, Y."Risk factors of perioperative complications and management with enhanced recovery after primary surgery in women with epithelial ovarian carcinoma in a single center". Oncology Letters 23, no. 5 (2022): 155. https://doi.org/10.3892/ol.2022.13274
Copy and paste a formatted citation
x
Spandidos Publications style
Li M, Zhang T, Zhu J, Li Y, Chen W, Xie Y, Zhang W, Chen R, Wei W, Wang G, Wang G, et al: Risk factors of perioperative complications and management with enhanced recovery after primary surgery in women with epithelial ovarian carcinoma in a single center. Oncol Lett 23: 155, 2022.
APA
Li, M., Zhang, T., Zhu, J., Li, Y., Chen, W., Xie, Y. ... Zhou, Y. (2022). Risk factors of perioperative complications and management with enhanced recovery after primary surgery in women with epithelial ovarian carcinoma in a single center. Oncology Letters, 23, 155. https://doi.org/10.3892/ol.2022.13274
MLA
Li, M., Zhang, T., Zhu, J., Li, Y., Chen, W., Xie, Y., Zhang, W., Chen, R., Wei, W., Wang, G., Qin, J., Zhao, W., Wu, D., Shen, Z., Nashan, B., Zhou, Y."Risk factors of perioperative complications and management with enhanced recovery after primary surgery in women with epithelial ovarian carcinoma in a single center". Oncology Letters 23.5 (2022): 155.
Chicago
Li, M., Zhang, T., Zhu, J., Li, Y., Chen, W., Xie, Y., Zhang, W., Chen, R., Wei, W., Wang, G., Qin, J., Zhao, W., Wu, D., Shen, Z., Nashan, B., Zhou, Y."Risk factors of perioperative complications and management with enhanced recovery after primary surgery in women with epithelial ovarian carcinoma in a single center". Oncology Letters 23, no. 5 (2022): 155. https://doi.org/10.3892/ol.2022.13274
Follow us
  • Twitter
  • LinkedIn
  • Facebook
About
  • Spandidos Publications
  • Careers
  • Cookie Policy
  • Privacy Policy
How can we help?
  • Help
  • Live Chat
  • Contact
  • Email to our Support Team