[Influence of surgical quality in the treatment of cancer of the ovary and fallopian tubes].

229 patients with ovarian cancer (224) or Fallopian tube cancers (5) are discussed. 51.3% of 115 patients of 224 had stages III and IV, 4 patients with stage IIIc had Fallopian tube cancer. 56 primary debulking operations were performed: 53 for cancer of the ovaries, 3 of the Fallopian tubes. The total number of debulking operations was 70 in 56 patients. New operations were performed in 35 patients: 14 new debulking procedures, 21 second-look operations. A new trend in extensive surgery omits the second-look operation and prefers to repeat a new debulking surgery when it is clinically necessary and acceptable.