Article Text

Download PDFPDF
Efficacy of Transanal Drainage Tube Placement After Modified Posterior Pelvic Exenteration for Primary Ovarian Cancer
  1. Kazuyoshi Kato, MD,
  2. Kohei Omatsu, MD,
  3. Maki Matoda, MD,
  4. Hidetaka Nomura, MD,
  5. Sanshiro Okamoto, MD,
  6. Hiroyuki Kanao, MD,
  7. Kuniko Utsugi, MD and
  8. Nobuhiro Takeshima, MD
  1. Department of Gynecology, Cancer Institute Hospital, Koutou-ku, Tokyo 135-8550, Japan.
  1. Address correspondence and reprint requests to Kazuyoshi Kato, MD, Department of Gynecology, Cancer Institute Hospital, 3-8-31 Ariake, Koutou-ku, Tokyo 135-8550, Japan. E-mail:


Objective The aim of this study was to investigate the clinical usefulness of the placement of a transanal drainage tube (TDT) to prevent anastomotic leakage after a modified posterior pelvic exenteration (MPPE) for the treatment of primary ovarian cancer.

Methods We performed a retrospective review of all the consecutive patients who had undergone an MPPE for primary ovarian, tubal, or peritoneal cancer between October 2012 and November 2016 at our institution. Patient-related, disease-related, and surgery-related data were collected.

Results One hundred five patients who underwent an MPPE were included in this study. A TDT was placed in all the patients. A diverting ileostomy was created during cytoreductive surgery in 7 patients (7%). Those who underwent a diverting ileostomy tended to have a greater degree of surgical invasiveness, as was reflected by a longer operative time, a serious loss of blood, and a large quantity of intraoperative blood transfusion. Anastomotic leakage occurred in 1 patient (1%), and a diverting ileostomy was created for this patient.

Conclusions Transanal drainage tube placement seems to be an effective and safe procedure that can decrease the rate of anastomotic leakage and the need for a diverting stoma after MPPE for ovarian cancer. However, some patients inevitably require a diverting stoma despite the TDT placement.

  • Ovarian cancer
  • Modified posterior pelvic exenteration
  • Transanal drainage tube
  • Anastomotic leakage

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • The authors declare no conflicts of interest to declare.