Team-based care may lower anastomotic leak rate and improve outcomes during ovarian cancer cytoreductive surgery: JAMA
Researchers have found that the anastomotic leak rate is significantly lower when two surgeons participate in bowel surgery for advanced epithelial ovarian cancer, regardless of the surgical specialty. A recent study was published in JAMA Surgery by Jasmine Ebott and colleagues. It accentuates the positive effect of team-based care in the improvement of surgical outcomes among these patients.
Extensive bowel surgery is often necessary to achieve complete cytoreduction in epithelial ovarian cancer patients. While bowel resections are high-risk procedures that result in complications related to anastomotic leaks, it remains unclear if the type of surgeon performing the operation impacts the outcome for the patient. This study aimed to compare surgical outcomes between a gynecologic oncologist, a general surgeon, and a two-surgeon team approach in this population.
This is a retrospective cohort study comparing surgical outcomes for gynecologic oncologists, general surgeons, and a two-surgeon team approach in patients with advanced epithelial ovarian cancer who underwent bowel surgery during cytoreductive debulking.
This study utilized the American College of Surgeons’ National Surgical Quality Improvement Program (NSQIP) datasets from 2012 through 2020. The data were analyzed from March 2022 to March 2023 and reanalyzed in May 2024 for quality assurance. The analysis included cytoreductive surgeries performed by gynecologic oncologists, general surgeons, or a two-surgeon team approach for patients with ovarian cancer recorded in the NSQIP datasets. The two-surgeon team approach involved any combination of the mentioned surgical specialties. The primary outcome of interest was the anastomotic leak rate following bowel surgery during ovarian cancer debulking.
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