Publication | Closed Access
Second-look laparotomy in the management of epithelial ovarian carcinoma: an evaluation of fifty cases.
33
Citations
0
References
1984
Year
LaparoscopyGynecologic SurgerySurgical OncologyMacroscopic DiseaseTumoral PathologyGynecological SurgeryMedicineSecond-look LaparotomySurgical PathologyEpithelial Ovarian CarcinomaGynecologyFifty CasesSurgeryOncologyGynecology OncologyOvarian CancerFifty Patients
Fifty patients with ovarian cancer had a second-look laparotomy performed after chemotherapy. Complete histologic response was confirmed in 12 patients, microscopic disease was found in 12 patients, and macroscopic disease was found in 26 patients. Fifteen patients with macroscopic disease had total tumor clearance at second look. Surgical response to chemotherapy was found to correlate well with disease volume at the onset of chemotherapy. The operation is a safe, accurate technique for assessing the ovarian cancer patient. The findings and outcome probably depend upon the timing of the procedure. Any survival benefit from the operation remains to be proved.