Surgical management in the pelvis for patients with advanced ovarian cancer

In 70% of women, the diagnosis of epithelial ovarian cancer is at the advanced stage, and patient survival is negatively correlated with residual disease diameter in many series and meta-analyses. This evidence emphasizes the role of maximal cytoreduction in this particular oncologic population. In patients with disrupted pelvic anatomical conditions such as the so-called “frozen pelvis”, the surgeons are called to a significant effort to achieve the maximal cytoreduction.

Let’s read a review written by Dr. Giannini and Dr. Butler, which is an extensive updated technical overview from the pioneering series of their team to the current evolving surgical breakthroughs. Nowadays, this complex exenterative surgery paradigm for the frozen pelvis in advanced ovarian cancer is still changing because the innovative biological, genetic knowledge is continuously growing and evolving parallel to the advanced perioperative, anesthesiologic, and radiologic care.