Surgical Film Library-Technique Of Quadrant Wise Ultra Radical Optimal Cytoreduction Techniques With Total Parietal Peritonectomy And Hipec For Epithelial Ovarian Cancer

Technique Of Quadrant Wise Ultra Radical Optimal Cytoreduction Techniques With Total Parietal Peritonectomy And Hipec For Epithelial Ovarian Cancer

Back to course

Video Transcription

Video Summary

This video demonstrates an ultra-radical surgery technique for optimal cytoreduction in advanced ovarian cancer (stage 3c) with extensive peritoneal metastasis. The procedure involves systematic quadrant-wise parietal peritonectomy, retrograde hysterectomy with pouch of Douglas removal, diaphragm stripping and resection, glycine capsulectomy of the liver, mesentery nodule removal using specialized cautery techniques, and retroperitoneal lymphadenectomy. The goal is complete macroscopic tumor removal (CC0) after 5-6 hours of surgery, even with high tumor burden. Post-surgery, hyperthermic intraperitoneal chemotherapy (HIPEC) is administered to improve outcomes by eliminating microscopic residual disease. This comprehensive approach aims to maximize disease-free survival.

Asset Subtitle

SP Somashekhar, India

Meta Tag

Procedure Type Cytoreductive surgery

Route Open

Skill Level Expert

Surgical Location Upper abdomen

Keywords

Open

Upper abdomen

Expert

Cytoreductive surgery

ultra-radical surgery

advanced ovarian cancer

cytoreduction

hyperthermic intraperitoneal chemotherapy

peritoneal metastasis