The primary cytoreductive surgery of advanced epithelial ovarian cancer aimed to remove all macroscopic tumors, because residual disease after surgical cytoreduction of ovarian cancer has been shown to be strongly associated with survival.
In order to achieve this, more aggressive surgical procedures are reported and increasingly utilized in the surgical management of advanced ovarian cancer.
Sugarbaker described up to five peritonectomy procedures (anterior parietal peritonectomy, left upper quadrant peritonectomy, right upper quadrant peritonectomy, pelvic peritonectomy and Omental bursectomy) may be required to adequately resect all visible evidence of peritoneal disease.
In this video, I try to present my innovative surgical technique of retroperitoneal total en bloc resection of peritoneal-multivisceral packet, which facilitates all required visceral resections and parietal peritonectomy.
This procedure will allow minimizing the blood loss and operating time by emerging all above mentioned steps and performing them retroperitoneally.
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