Extra-peritoneal hysteroannessiectomy with eventual concomitant en bloc rectal resection and cytoreductive surgery in epithelial ovarian cancer (and other peritoneal surface malignancies): technical details

https://doi.org/10.4081/joper.2017.42

Authors

  • Luigi Frigerio Unit of Gynecology and Obstetrics, Papa Giovanni XXIII Hospital, Bergamo, Italy.
  • Marco Carnelli Unit of Gynecology and Obstetrics, Papa Giovanni XXIII Hospital, Bergamo, Italy.
  • Luisa Busci Unit of Gynecology and Obstetrics, Papa Giovanni XXIII Hospital, Bergamo, Italy.
  • Chiara Malandrino Unit of Gynecology and Obstetrics, Papa Giovanni XXIII Hospital, Bergamo, Italy.
  • Apollonia Verrengia Unit of Gynecology and Obstetrics, Papa Giovanni XXIII Hospital, Bergamo, Italy.
  • Chiara Bosisio Unit of Gynecology and Obstetrics, Papa Giovanni XXIII Hospital, Bergamo, Italy.
  • Giulia Montori Unit of General Surgery, Papa Giovanni XXIII Hospital, Bergamo, Italy.
  • Federico Coccolini Unit of General Surgery, Papa Giovanni XXIII Hospital, Bergamo, Italy.
  • Elia Poiasina Unit of General Surgery, Papa Giovanni XXIII Hospital, Bergamo, Italy.
  • Luca Ansaloni | lansaloni@asst-pg23.it Unit of General Surgery, Papa Giovanni XXIII Hospital, Bergamo, Italy.

Abstract

Surgery allows the correct evaluation of the peritoneal dissemination of the epithelial ovarian cancer (EOC) and the removal of as much tumor as possible to maximize adjuvant chemotherapy. Neoadjuvant chemotherapy (NACT) and interval debulking surgery have been proposed as a reasonable alternative to primary complete cytoreductive surgery (CRS) in patients not fit for an initial extensive debulking surgery. Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) has been offered as a promising therapeutic procedure to increase survival by treating the microscopic component of the neoplastic disease. Matherial and Method. 419 eligible patients with stage III-IV EOC were subjected to CRS, previous NACT in 343 patients, 20 of which with CRS combined with extraperitoneal hysterectomy (EH) + HIPEC. Purposes of our four years retrospective observational study are the revision of the surgical approaches to the EOC, a detailed report of the pelvic peritonectomy in association to hysteroannessiectomy (+/- consensual rectal resection) and the prospective review of the results. Conclusions. This study shows that EH + HIPEC is feasible. The detailed description of the technique here depicted could help to standardize this type of peritonectomy.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.
Published
2017-06-06
Info
Issue
Section
Therapeutical Notes
Keywords:
Hysteroannessiectomy, HIPEC., epithelial ovarian cancer, cytoreductive surgery, HIPEC
Statistics
  • Abstract views: 769

  • PDF: 369
  • Appendix Figures: 95
How to Cite
1.
Frigerio L, Carnelli M, Busci L, Malandrino C, Verrengia A, Bosisio C, Montori G, Coccolini F, Poiasina E, Ansaloni L. Extra-peritoneal hysteroannessiectomy with eventual concomitant en bloc rectal resection and cytoreductive surgery in epithelial ovarian cancer (and other peritoneal surface malignancies): technical details. J Peritoneum [Internet]. 2017Jun.6 [cited 2020Aug.9];2(1). Available from: http://jperitoneum.org/index.php/joper/article/view/42

Most read articles by the same author(s)

1 2 > >>