Results of Primary Cytoreductive Surgery in Advanced-stage Epithelial Ovarian Cancer - Romania

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Patients and Methods

We retrospectively reviewed data of patients with advanced epithelial ovarian cancer referred to the Fundeni Clinical Institute between 1 January 2002 and 1 April 2014.....
 

Conclusion

Total debulking to achieve no residual tumoral tissue is the best chance of long-term survival for patients with advanced ovarian cancer. Maximal upper abdominal surgery including liver resection will bring survival for this category of patients with more advanced disease closer to that of patients with a lower extent of disease. The effort of complete cytoreduction also seems to be perfectly justified in cases presenting upper abdominal involvement including diaphragmatic disease or bowel involvement, while association of multiple resections at these levels seems to be safely performed, with acceptable postoperative rates of morbidity.