INTESTINAL-OBSTRUCTION IN PATIENTS WITH ADVANCED GYNECOLOGICAL-CANCER- A STUDY OF 62 CASES

In total, 62 cases with advanced gynecological malignancy were analyze d for the value of interventions for intestinal obstruction. 35 patien ts had an ileostomy, 7 patients had other palliative surgical interven tion and 20 patients were managed conservatively. The median survival after surgical intervention was 7.7 months as against 1.3 months in co nservatively treated patients. After surgery, all patients were affect ed by severe complications due to the primary disease. 22 (52.3%) of s urgically treated patients received further therapy. 45 out of 62 pati ents (77.4%) died of progressive cancer and 14 (22.6%) of ileus. Surgi cal intervention had a positive effect on survival time, but only a ma rginal effect on life quality.