Purwoto Gatot, Dalimunthe Boeyoeng Ego, Kekalih Aria, Aditianingsih Dita, Mazni Yarman, Wahyudi Irfan, Julianti Kelli
Department of Obstetrics and Gynecology, Faculty of Medicine University of Indonesia - Dr. Cipto Mangunkusumo National Referral Hospital, Jakarta, Indonesia.
Department of Community Medicine, Faculty of Medicine University of Indonesia, Jakarta, Indonesia.
Ann Med Surg (Lond). 2022 Apr 4;77:103581. doi: 10.1016/j.amsu.2022.103581. eCollection 2022 May.
Ovarian cancer remains as one of the deadliest gynecologic problems globally. Often appears in advanced state, its surgery proves to be a challenge for clinicians. This study aim to present complications surrounding ovarian cancer surgery.
This study was a cross-sectional study to analyze reports of intraoperative and postoperative complications in ovarian cancer patients undergoing laparotomy in Dr. Cipto Mangunkusumo National General Hospital, Jakarta from January 2018 to December 2019. Ovarian cancer patients undergoing laparotomy surgery were included in the study. Patients with a history of other cancers or having incomplete data were excluded from the study. Intraoperative complications included intestinal, ureter, bladder injury, and postoperative complications included paralytic ileus, surgical wound infection and sepsis were documented.
A total of 78 subjects were included in the study. The total proportion of complications was 19.2%. The most prevalent intraoperative complications were intestinal injury (12.8%), bladder injury (2.6%), and ureter injury (1.3%). Most prevalent postoperative complications reported were surgical wound infection (5.2%), sepsis (3.9%), while none of the patients had paralytic ileus.
The proportion of intraoperative and postoperative complications in ovarian cancer surgery was still at alarming level (19.2%). Further steps are needed to ameliorate the rate of complications surrounding ovarian cancer surgery.
卵巢癌仍是全球最致命的妇科问题之一。它常以晚期状态出现，其手术对临床医生来说是一项挑战。本研究旨在介绍卵巢癌手术相关的并发症。
本研究为横断面研究，分析2018年1月至2019年12月在雅加达西托·曼古库苏莫国家综合医院接受剖腹手术的卵巢癌患者的术中及术后并发症报告。纳入接受剖腹手术的卵巢癌患者。有其他癌症病史或数据不完整的患者被排除在研究之外。记录术中并发症包括肠道、输尿管、膀胱损伤，术后并发症包括麻痹性肠梗阻、手术伤口感染和败血症。
本研究共纳入78名受试者。并发症的总比例为19.2%。最常见的术中并发症是肠道损伤（12.8%）、膀胱损伤（2.6%）和输尿管损伤（1.3%）。报告的最常见术后并发症是手术伤口感染（5.2%）、败血症（3.9%），而没有患者出现麻痹性肠梗阻。
卵巢癌手术中及术后并发症的比例仍处于令人担忧的水平（19.2%）。需要采取进一步措施来改善卵巢癌手术相关并发症的发生率。
