Abstract
The primary debulking surgery is performed to achieve complete debulking as the amount of residual tumor is one of the most important prognostic factors for survival of women with advanced ovarian cancer. In advanced cases, basic surgical procedures (bilateral salpingo-oophorectomy, total hysterectomy, and omentectomy) can deal with only minimal cases. And this is restrictive.
The upper abdominal disease is frequently observed in advanced cases. The reason of suboptimally debulking surgery is the presence of unresectable upper abdominal disease in advanced ovarian cancer. In other words, it means that we can get closer to complete debulking if we can extract any upper abdominal disease.
In this chapter, I describe about the surgery for some upper abdominal disease, especially diaphragmatic surgery, liver resection, splenectomy, and distal pancreatectomy.
Upper abdominal surgical technique is essential for operative treatment for advanced ovarian cancer.
For many gynecologic oncologists, it is necessary to master these techniques from now on.
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Terauchi, F. (2019). Upper Abdomen. In: Mikami, M. (eds) Surgery for Gynecologic Cancer. Comprehensive Gynecology and Obstetrics. Springer, Singapore. https://doi.org/10.1007/978-981-13-1519-0_23
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DOI: https://doi.org/10.1007/978-981-13-1519-0_23
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