The Effect of Bowel Resection on Survival in Advanced Epithelial Ovarian Cancer

Impact of Extended Primary Surgery on Suboptimally Operable Patients With Advanced Ovarian Cancer

“…There are several studies that support this hypothesis: Jaeger et al 39 have compared outcome in patients without tumor residuals, residual tumor of less than 2 cm, and residual tumor of more than 2 cm, showing decreased survival in patients who had undergone bowel resection regardless of whether a complete cytoreduction could be achieved. Similar results were shown by Giorda et al, 23 who described the necessity of bowel resections as well as G3 grading as independent prognostic factors in patients who had tumor residuals of less than 5 mm, independent of the performed surgical procedure.…”

Evaluation of urgent multivisceral resections due to complications resulting from an advanced ovarian cancer

“…In this group of patients, obstruction symptoms were due to a multilevel infiltration of the small intestine and colon. According to Jaeger et al [28], in case of an advanced carcinoma comprising the intestines, a multilevel resection will not significantly improve the results, despite residual disease resection. However, most authors [14,20,23,26] affirm in their works, that these multivisceral resections indeed improve treatment results in patients.…”

Digestive resections in advanced-stage ovarian cancer

“…Patients with advanced disease affecting the diaphragm, liver, spleen, and omentum, or widespread disease affecting the bowel, need radical surgery in order to achieve complete or optimal cytoreduction [10,11] . Three types of surgical procedures have been defined with different risks of complications.…”