Surgical Film Library-Radical Cytoreductive Surgery Of The Upper Abdomen For Advanced Ovarian Cancer

Radical Cytoreductive Surgery Of The Upper Abdomen For Advanced Ovarian Cancer

Video Transcription

Video Summary

This video details radical cytoreductive surgery for advanced ovarian cancer, emphasizing complete gross resection to improve survival. Memorial Sloan Kettering pioneered extensive upper abdominal procedures—such as diaphragm resection, splenectomy, and distal pancreatectomy—to achieve optimal cytoreduction. The demonstrated splenectomy involves mobilizing ligaments, dividing short gastric vessels, and removing an involved distal pancreas segment. Postoperative pancreatic leaks are major risks, reduced by staple reinforcement and somatostatin analogs. Intrathoracic nodal involvement is addressed via diaphragmatic defects for node removal, improving survival. The video highlights surgical techniques and outcomes showing increased complete resection rates correlate with better overall survival in advanced ovarian cancer.

Asset Subtitle

Ryan Khan, United States

Meta Tag

Procedure Type spenectomy and pelvic mass resection

Route Open

Skill Level Expert

Surgical Location Upper abdomen

Keywords

Open

Upper abdomen

Expert

spenectomy and pelvic mass resection

radical cytoreductive surgery

advanced ovarian cancer

complete gross resection

splenectomy

postoperative pancreatic leak prevention