High mortality after abdominal operation in patients with large-volume malignant ascites
Advanced intra‐abdominal cancers are frequently associated with malignant ascites. The aim of this study was to document the frequency and clinical course of patients found to have large‐volume (≥3 L) malignant ascites when undergoing a major abdominal operation. Between October 1, 1987 and Septembe...
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| Veröffentlicht in: | Journal of surgical oncology 1996-06, Vol.62 (2), p.93-96 |
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| creator | Yazdi, G. Paul Miedema, Brent W. Humphrey, Loren J. |
| description | Advanced intra‐abdominal cancers are frequently associated with malignant ascites. The aim of this study was to document the frequency and clinical course of patients found to have large‐volume (≥3 L) malignant ascites when undergoing a major abdominal operation. Between October 1, 1987 and September 1, 1992, 385 patients with malignant ascites were admitted to hospitals associated with a university medical center. Seventeen with large volume ascites underwent exploration for palliation of bowel obstruction or debulking of tumor. Operative mortality was 41% and mortality correlated with the presence of a nonovarian primary and advanced age. We conclude that patients with large volume nonovarian malignant ascites have a high mortality rate following a major abdominal operation. New approaches such as neoadjuvant or intraperitoneal chemotherapy or possibly peritoneovenous shunt placement at the time of the abdominal operation, are needed to improve the dismal results in this subgroup of patients. © 1996 Wiley‐Liss, Inc. |
| doi_str_mv | 10.1002/(SICI)1096-9098(199606)62:2<93::AID-JSO4>3.0.CO;2-L |
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Paul ; Miedema, Brent W. ; Humphrey, Loren J.</creator><creatorcontrib>Yazdi, G. Paul ; Miedema, Brent W. ; Humphrey, Loren J.</creatorcontrib><description>Advanced intra‐abdominal cancers are frequently associated with malignant ascites. The aim of this study was to document the frequency and clinical course of patients found to have large‐volume (≥3 L) malignant ascites when undergoing a major abdominal operation. Between October 1, 1987 and September 1, 1992, 385 patients with malignant ascites were admitted to hospitals associated with a university medical center. Seventeen with large volume ascites underwent exploration for palliation of bowel obstruction or debulking of tumor. Operative mortality was 41% and mortality correlated with the presence of a nonovarian primary and advanced age. We conclude that patients with large volume nonovarian malignant ascites have a high mortality rate following a major abdominal operation. New approaches such as neoadjuvant or intraperitoneal chemotherapy or possibly peritoneovenous shunt placement at the time of the abdominal operation, are needed to improve the dismal results in this subgroup of patients. © 1996 Wiley‐Liss, Inc.</description><identifier>ISSN: 0022-4790</identifier><identifier>EISSN: 1096-9098</identifier><identifier>DOI: 10.1002/(SICI)1096-9098(199606)62:2<93::AID-JSO4>3.0.CO;2-L</identifier><identifier>PMID: 8649047</identifier><identifier>CODEN: JSONAU</identifier><language>eng</language><publisher>New York: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Abdominal Neoplasms - complications ; Abdominal Neoplasms - mortality ; Abdominal Neoplasms - surgery ; abdominal tumors ; Adult ; Aged ; Aged, 80 and over ; Ascites - etiology ; Ascites - mortality ; Ascites - surgery ; Biological and medical sciences ; colon cancer ; Female ; Female genital diseases ; Gynecology. Andrology. 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Paul</creatorcontrib><creatorcontrib>Miedema, Brent W.</creatorcontrib><creatorcontrib>Humphrey, Loren J.</creatorcontrib><title>High mortality after abdominal operation in patients with large-volume malignant ascites</title><title>Journal of surgical oncology</title><addtitle>J. Surg. Oncol</addtitle><description>Advanced intra‐abdominal cancers are frequently associated with malignant ascites. The aim of this study was to document the frequency and clinical course of patients found to have large‐volume (≥3 L) malignant ascites when undergoing a major abdominal operation. Between October 1, 1987 and September 1, 1992, 385 patients with malignant ascites were admitted to hospitals associated with a university medical center. Seventeen with large volume ascites underwent exploration for palliation of bowel obstruction or debulking of tumor. Operative mortality was 41% and mortality correlated with the presence of a nonovarian primary and advanced age. We conclude that patients with large volume nonovarian malignant ascites have a high mortality rate following a major abdominal operation. New approaches such as neoadjuvant or intraperitoneal chemotherapy or possibly peritoneovenous shunt placement at the time of the abdominal operation, are needed to improve the dismal results in this subgroup of patients. © 1996 Wiley‐Liss, Inc.</description><subject>Abdominal Neoplasms - complications</subject><subject>Abdominal Neoplasms - mortality</subject><subject>Abdominal Neoplasms - surgery</subject><subject>abdominal tumors</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Ascites - etiology</subject><subject>Ascites - mortality</subject><subject>Ascites - surgery</subject><subject>Biological and medical sciences</subject><subject>colon cancer</subject><subject>Female</subject><subject>Female genital diseases</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Laparotomy - mortality</subject><subject>Male</subject><subject>malignant ascites</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>ovarian cancer</subject><subject>Ovarian Neoplasms - mortality</subject><subject>Ovarian Neoplasms - surgery</subject><subject>Treatment Outcome</subject><subject>Tumors</subject><issn>0022-4790</issn><issn>1096-9098</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtvEzEURkcIVNLCT0CaBULtYsK1r-fhFCFVKU2CIiIUHt1deSae1GUewZ5Q8u_xkCgsQKz8uJ-PP50guGQwZAD89flyNp5dMJBJJEFm50zKBJKLhI_4G4mj0dXsOnq_XIi3OITheHHJo_mjYHDMPw4GnsIjkUp4Gpw6dw8AHiFOgpMsERJEOghup2Z9F9at7VRlul2oyk7bUOWrtjaNqsJ2o63qTNuEpgk3fqebzoUPprsLK2XXOvrRVttah7V_vm5U04XKFabT7lnwpFSV088P61nw-ebdp_E0mi8ms_HVPCoEj0VUpqWSsYo58ixXZZ5IXWCpff9c8gQhxVjmGYqUwSoGQKZyzEHkiUINBcZ4Frzacze2_b7VrqPauEJXlWp0u3WUZoxJhsIHl_tgYVvnrC5pY02t7I4YUO-bqPdNvT_q_dHeNyWcOEkk8r6p901IQOOFv5176ovD99u81qsj8yDYz18e5t6LqkqrmsK4YwwZQsb5n3IPptK7v5r9v9g_ev0-e2q0pxrX6Z9HqrLfKEkxjenrhwl9nOANTm8n9AV_AWOetrU</recordid><startdate>199606</startdate><enddate>199606</enddate><creator>Yazdi, G. Paul</creator><creator>Miedema, Brent W.</creator><creator>Humphrey, Loren J.</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley-Liss</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199606</creationdate><title>High mortality after abdominal operation in patients with large-volume malignant ascites</title><author>Yazdi, G. Paul ; Miedema, Brent W. ; Humphrey, Loren J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4254-f7fa95a52328bafb69ec3fe909b926307359b834710d50031ab3b04b6a3e0c353</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Abdominal Neoplasms - complications</topic><topic>Abdominal Neoplasms - mortality</topic><topic>Abdominal Neoplasms - surgery</topic><topic>abdominal tumors</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Ascites - etiology</topic><topic>Ascites - mortality</topic><topic>Ascites - surgery</topic><topic>Biological and medical sciences</topic><topic>colon cancer</topic><topic>Female</topic><topic>Female genital diseases</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Laparotomy - mortality</topic><topic>Male</topic><topic>malignant ascites</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>ovarian cancer</topic><topic>Ovarian Neoplasms - mortality</topic><topic>Ovarian Neoplasms - surgery</topic><topic>Treatment Outcome</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yazdi, G. Paul</creatorcontrib><creatorcontrib>Miedema, Brent W.</creatorcontrib><creatorcontrib>Humphrey, Loren J.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of surgical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yazdi, G. Paul</au><au>Miedema, Brent W.</au><au>Humphrey, Loren J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>High mortality after abdominal operation in patients with large-volume malignant ascites</atitle><jtitle>Journal of surgical oncology</jtitle><addtitle>J. Surg. Oncol</addtitle><date>1996-06</date><risdate>1996</risdate><volume>62</volume><issue>2</issue><spage>93</spage><epage>96</epage><pages>93-96</pages><issn>0022-4790</issn><eissn>1096-9098</eissn><coden>JSONAU</coden><abstract>Advanced intra‐abdominal cancers are frequently associated with malignant ascites. The aim of this study was to document the frequency and clinical course of patients found to have large‐volume (≥3 L) malignant ascites when undergoing a major abdominal operation. Between October 1, 1987 and September 1, 1992, 385 patients with malignant ascites were admitted to hospitals associated with a university medical center. Seventeen with large volume ascites underwent exploration for palliation of bowel obstruction or debulking of tumor. Operative mortality was 41% and mortality correlated with the presence of a nonovarian primary and advanced age. We conclude that patients with large volume nonovarian malignant ascites have a high mortality rate following a major abdominal operation. New approaches such as neoadjuvant or intraperitoneal chemotherapy or possibly peritoneovenous shunt placement at the time of the abdominal operation, are needed to improve the dismal results in this subgroup of patients. © 1996 Wiley‐Liss, Inc.</abstract><cop>New York</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>8649047</pmid><doi>10.1002/(SICI)1096-9098(199606)62:2<93::AID-JSO4>3.0.CO;2-L</doi><tpages>4</tpages></addata></record> |
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| subjects | Abdominal Neoplasms - complications Abdominal Neoplasms - mortality Abdominal Neoplasms - surgery abdominal tumors Adult Aged Aged, 80 and over Ascites - etiology Ascites - mortality Ascites - surgery Biological and medical sciences colon cancer Female Female genital diseases Gynecology. Andrology. Obstetrics Humans Laparotomy - mortality Male malignant ascites Medical sciences Middle Aged ovarian cancer Ovarian Neoplasms - mortality Ovarian Neoplasms - surgery Treatment Outcome Tumors |
| title | High mortality after abdominal operation in patients with large-volume malignant ascites |
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