Abstract:
OBJECTIVES:From a theoretical viewpoint, intraperitoneal therapy (i.p.) in-patients with ovarian cancer, a malignancy, which remains mainly, confined to the peritoneal cavity is logical. Intraperitoneal catheters have moved to the forefront as a delivery system in cancer treatment. Authors have described complications during the placement, usage, and evacuation of Tenckhoff catheters. MATERIAL AND METHODS:From January 1996 to January 2003, 118 patients with recurrent or persistent ovarian cancer, after surgery and first line chemotherapy, have had catheter insertion, but only 91 have had catheter evacuation: because of: not complete therapy (21 patients). Three patients died during i.p. therapy, Four times intraperitoneal catheter has spontaneously fold out. RESULTS:During insertion total number of complications reached (7.63%)--6 bowel incision, 1 bladder incision, 1 hernia of the linea alba, 1 incision of bowel and bladder. During catheter evacuation total number of complications was 9 (7.63%), 8 bowel incisions, 1 hernia of the linea alba. Complications connected with catheter function: only 10 patients required cessation of chemotherapy prior to its expected completion because of following reasons: 2 fistula of the catheter to vagina, 2 fistulas to bowel, in four cases intraperitoneal catheter has spontaneously fold out due to abscess (two after citostatics flow under the skin, and two without clear reason probably because of not proper fixation) one because of abscess in peritoneal cavity, and problems with citostatics inflow, one because of subileus. CONCLUSION:1 Surgical complications occurring during IPC are not dangerous for patients. 2 IPC is valid and safety way of treatment ovarian cancer patients. 3 The frequency of complications occurring during insertion of Tenckhoff catheter depends on the way of placement. 4 We do not noticed connections between frequency of complications and sum of insertion made by the surgeon.
journal_name
Ginekol Poljournal_title
Ginekologia polskaauthors
Milczek T,Emerich J,Klasa-Mazurkiewicz Dkeywords:
subject
Has Abstractpub_date
2003-09-01 00:00:00pages
817-23issue
9eissn
0017-0011issn
2543-6767journal_volume
74pub_type
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journal_title:Ginekologia polska
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journal_title:Ginekologia polska
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journal_title:Ginekologia polska
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journal_title:Ginekologia polska
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journal_title:Ginekologia polska
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journal_title:Ginekologia polska
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journal_title:Ginekologia polska
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doi:
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journal_title:Ginekologia polska
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doi:
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journal_title:Ginekologia polska
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journal_title:Ginekologia polska
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journal_title:Ginekologia polska
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doi:
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journal_title:Ginekologia polska
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doi:
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更新日期:2006-11-01 00:00:00
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journal_title:Ginekologia polska
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doi:
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journal_title:Ginekologia polska
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doi:
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journal_title:Ginekologia polska
pub_type: 杂志文章,评审
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journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2003-05-01 00:00:00
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journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1993-04-01 00:00:00
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journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
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journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2004-05-01 00:00:00
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journal_title:Ginekologia polska
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