Surgical Film Library-Radical Upper Abdominal Debulking Surgery For High-Grade Ovarian Carcinoma

Radical Upper Abdominal Debulking Surgery For High-Grade Ovarian Carcinoma

Video Transcription

Video Summary

This video discusses radical cytoreductive surgery for advanced ovarian cancer, emphasizing complete gross resection to improve survival. Initially, extensive upper abdominal surgery was uncommon, leaving large tumors unresected. Since 2001, Memorial Sloan Kettering incorporated procedures like diaphragm peritonectomy, splenectomy, distal pancreatectomy, liver resection, and intrathoracic cytoreduction, improving optimal cytoreduction and survival rates. The video demonstrates splenectomy with distal pancreatectomy, highlighting key surgical steps and managing complications like pancreatic leaks using staple reinforcement and somatostatin analogs. It also covers removal of super diaphragmatic nodes via diaphragm incision, repairing pericardial defects to enhance outcomes in advanced ovarian cancer.

Asset Subtitle

Dennis Chi, 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 with distal pancreatectomy

diaphragm peritonectomy