Operative Therapie des Ovarialkarzinoms
摘要
Surgical therapy is a cornerstone of ovarian cancer treatment. The quality of surgery is a decisive prognostic factor for patients. In early ovarian cancer (Fédération Internationale de Gynécologie et d’Obstétrique, FIGO: I-II), this is determined by complete surgical staging. In advanced stages (FIGO: III-IV), the aim is complete macroscopic resection. The operation should always be performed by midline laparotomy to allow complete inspection and palpation of the abdominal cavity. Even in the event of recurrence, the use of secondary cytoreductive surgery can achieve an advantage in overall survival in a selected group of patients.