ABSTRACT

In the United States, more than 25,000 women are diagnosed each year with epithelial ovarian cancer (1). Seventy to eighty percent of patients have advanced disease at diagnosis which often is not completely resectable (2), with 20-30% five-year survival after conventional therapy. The most important factor for curative treatment is a radical adequate surgery. Standard surgery includes abdominal hysterectomy, bilateral salpingoophorectomy, omentectomy, appendectomy, intraabdominal debulking, if possible radical pelvine and paraaortic lymphonodectomy, and, if necessary, surgery of gut.