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AIM:To appraise the current evidence for prophylactic oophorectomy in patients undergoing primary curative colorectal cancer resection.METHODS:Occult ovarian metastases may lead to increased mortality,therefore prophylactic oophorectomy may be considered for women undergoing colorectal resection.A systematic review and meta-analysis was performed for English language studies from 1994 to 2014(PROSPERO Registry number:CRD42014009340),comparing outcomes following prophylactic oophorectomy(no known ovarian or other metastatic disease at time of surgery)vs no ovarian surgery,synchronous with colorectal resection for malignancy.Outcomes assessed:local recurrence,5-year mortality,immediate post-operative morbidity and mortality,and rate of distant metastases.RESULTS:Final analysis included 4 studies from the United States,Europe and China,which included 627 patients(210 prophylactic oophorectomy and 417 non-oophorectomy).There was one randomized controlled trials,the remainder being non-randomised cohort studies.The studies were all at high risk of bias according to the Cochrane Collaboration’s assessment tool for randomised studies and the Newcastle-Ottawa Score for the cohort studies.The mean age of patients amongst the studies ranged from 56.5 to 67 years.There were no significant differences between the patients having prophylactic oophorectomy at time of primary colorectal resection compared with patients who did not with respect to local recurrence,5-year survival and distant metastases.There was no difference in post-operative complications or immediate post-operative mortality between the groups.CONCLUSION:Current evidence does not favour prophylactic oophorectomy for patients without known genetic predisposition.Prophylactic surgery is not associated with additional risk of post-operative complications or death.
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篇名 Prophylactic oophorectomy during primary colorectal cancer resection:A systematic review and meta-analysis
来源期刊 世界外科手术杂志 学科 医学
关键词 PROPHYLACTIC surgery COLORECTAL cancer OOPHORECTOMY
年,卷(期) 2015,(1) 所属期刊栏目
研究方向 页码范围 167-172
页数 6页 分类号 R
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研究主题发展历程
节点文献
PROPHYLACTIC
surgery
COLORECTAL
cancer
OOPHORECTOMY
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研究分支
研究去脉
引文网络交叉学科
相关学者/机构
期刊影响力
世界外科手术杂志
不定期
2219-2832
北京市朝阳区东四环中路62号楼远洋国际中
出版文献量(篇)
61
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0
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