Page 3 - Ovarian cancer surgery - Guidelines (early stages)

Criteria against abdominal debulking

 Diffuse deep infiltration of the root of small bowel mesentery
 Diffuse carcinomatosis of the small bowel involving such large parts that resection would lead to a short

bowel syndrome remaining bowel < 1.5 m
 Diffuse involvement/deep infiltration of

o Stomach/duodenum limited excision is possible
o Head or middle part of pancreas tail of the pancreas can be resected
 Involvement of truncus coeliacus, hepatic arteries, left gastric artery celiac nodes can be resected.

Non-resectable metastatic disease stage IVB 2

 Central or multisegmental parenchymal liver metastases
 Multiple parenchymal lung metastases preferably histologically proven
 Nonresectable lymph node metastases
 Brain metastases
Examples of potentially resectable extra-abdominal disease

o Inguinal lymph nodes
o Retrocrural or paracardiac nodes
o Focal parietal pleural involvement
o Isolated parenchymal lung metastases
Examples of resectable intra-abdominal parenchymal metastases
o Splenic metastases
o Capsular liver metastases
o Single deep liver metastasis, depending on the location

2 In stage IVA pleural cavity must be surgically assessed by thoracoscopy or intraoperatively.

guidelines.esgo.org | esgo-guidelines@esgomail.org
Published October 2016 by European Society of Gynaecological Oncology
Copyrights: © European Society of Gynaecological Oncology
ESGO Ovarian Cancer Surgery Guidelines (advanced stage)_v1

 OVARIAN CANCER SURGERY - GUIDELINES 
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