Introduction/Background A 55 year old patient presented with advanced ovarian cancer with disease at the mediastinal lymph nodes, the right diaphragm, the omentum and a 7 cm lymph node block at the paraaortic area. The MDT decided to commence with neoadjuvant chemotherapy taking into consideration the mediastinal lymoh nodes. She had 3 cycles of carbo/taxol. On post chemo CT scan she had complete response at the chest and partial response intraperitoneally. Thus, We decided to offer interval debulking surgery.
Methodology In this video monopolar diathermy is uded to excise bulky disease from the paraaortic area after mobilising the duodenum
Results She underwent liver mobilisation and right diaphragmatic excision, en-block resection of the spleen and omentum, excision of disease from the paraaortic area and stripping of pelvic peritoneum
Conclusion Excision of disease from the paraaortic area after chemotherapy is feasible and should be offered in patients with advanced ovarian cancer in the setting of interval debulking surgery
Disclosure Nothing to disclose
Statistics from Altmetric.com
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.