Bösze P
Országos Onkológiai Intézet, Budapest, Nögyógyászati Onkológiai Osztály.
Orv Hetil. 1993 Oct 10;134(41):2243-8.
Surgery of advanced ovarian carcinoma includes total abdominal hysterectomy, bilateral salpingo-oophorectomy, partial or total omental resection and removal as much secondaries as possible. Distinction between optimal and suboptimal debulking is important in terms of survival. This is based on the size of the diameter of the largest residual tumour following primary surgery (< 2 cm vs > 2 cm). The value of lymphadenectomy is still controversial. However, it should be explored in prospective studies. The role of second-look laparotomy in advanced ovarian carcinoma remains debatable. Secondary debulking appears to be beneficial only if it is followed by adjunctive chemotherapy.
晚期卵巢癌的手术包括全腹子宫切除术、双侧输卵管卵巢切除术、部分或全部大网膜切除术以及尽可能多地切除转移灶。就生存率而言，区分最佳减瘤和次优减瘤很重要。这是基于初次手术后最大残留肿瘤直径的大小（<2厘米与>2厘米）。淋巴结切除术的价值仍存在争议。然而，应在前瞻性研究中进行探索。二次探查剖腹术在晚期卵巢癌中的作用仍有争议。只有在辅助化疗之后进行二次减瘤似乎才有益。
