Bowel surgery for XXXX --an early case series.

@entity43 @entity1 @entity834 @entity66 @entity190 @entity6177 @entity532 @entity1744 @entity4570
OBJECTIVES: The aims of this study were to review our local experience with bowel surgery for @entity43 at the Gynaecological Cancer Centre, KK @entity1 's and @entity1 's Hospital, and to document the outcome of such surgery as well as their complication rates. MATERIALS AND METHODS: The retrospective medical records of 38 @entity1 with @entity43 who underwent surgery including bowel surgery from January 1997 to May 2002 at the Gynaecological Cancer Centre, KK @entity1 's and @entity1 's Hospital, Singapore, were reviewed. RESULTS: Indications for surgery were predominantly debulking of disease. Fifty-eight per cent of @entity1 had primary debulking surgery, 34% had debulking of recurrence and 3% had interval debulking. Only 5% of @entity1 had @entity1744 as the only indication for surgery. Rectosigmoid resection was the most common bowel operation overall, being performed in 76.3% of @entity1 . The stoma rate for rectosigmoid resection was 61%. The remaining procedures included 7 colectomies, 1 intestinal bypass procedure and 1 intestinal diversion procedure. Optimal debulking (defined as < 1 cm of @entity66 ) was achieved in the majority (71%). The median operating time was 4 hours. The median @entity190 was 1300 mL. The major complication rate was 10.5%. @entity532 encountered were as follows: 1 @entity1 (2.6%) had an @entity834 , 2 @entity1 (5.3%) had @entity6177 and 1 @entity1 (2.6%) developed @entity4570 . Three @entity1 (7.8%) required a re-operation within 30 days. There were 3 deaths (7.8%) within 30 days of surgery. CONCLUSION: Bowel surgery is commonly indicated for @entity43 to facilitate optimal debulking. Such surgery is feasible with acceptable complication rates in our local centre.
