EP913 A comparative study of three different managements after colorectal anastomosis in ovarian cancer: conservative management and observation, diverting ileostomy and ghost ileostomy. (1st November 2019) - Lago, V
Abstract : Introduction/Background: Anastomotic leak (AL) remains as the main concern after colorectal anastomosis in ovarian cancer. Our objective was to compare the use of three different managements after colorectal resection followed by anastomosis in patients with ovarian cancer. Methodology: Between January 2010 and June 2018, a total of 133 patients FIGO Stage II–IV who underwent colorectal resection and anastomosis were included. According to the approach followed after the colorectal anastomosis, they were classified as: conservative management and observation (W&S) during postoperative period, the performance of a diverting ileostomy (DI) or the use of the ghost ileostomy (GI) technique. Results: No differences were found regarding the anastomosis leak related factors or the rate of anastomotic leak between the three groups (5, 6% vs. 5, 3% vs 4, 8%; p=0.983). Two patients (50%) died because of the anastomotic leak in the W&S group, and none of them in the DI or GI group. A higher number of patient in the DI group presented complications compared with the GI group (78.9% vs 7, 1%; p=00001). Conclusion: A passive management after colorectal anastomosis based in imaging, blood test and symptoms leads serious consequences in case of AL. The use of DI seems to diminish the consequences of AL but associates specific related complications and it impacts directly in the QoL as well. The use of GI has advantages over routine DI and W&S approaches for ovarian cancer patients undergoing colorectal anastomosis. Disclosure: Nothing to disclose.