NCCN Guidelines for Patients
Ovarian Cancer, Version 1.2017
Debulking surgery may remove all or part of nearby
organs where cancer has spread.
See Figure 12.
This may include removing organs such as your
spleen, gallbladder, and appendix. It may also
remove part of your stomach, liver, pancreas,
bladder, diaphragm, and intestines. Lymph nodes
that look different or are larger than normal should
also be removed if possible.
Most often, surgery is done using a laparotomy. A
laparotomy is a long surgical cut in the abdomen. It
is often an up-and-down (vertical) cut from the top
of the belly button down to the pelvic bone. This lets
your doctor see the tumor and other organs and
tissues in your abdomen and pelvis.
Thus, a laparotomy is the most common and
preferred method for ovarian cancer surgery. NCCN
experts recommend that it should be used when
surgical staging or debulking surgery is planned.
Laparoscopy is another surgery method that may be
used in some cases. Laparoscopy uses a few small
cuts in the abdomen instead of one big one. Small
tools are inserted through the cuts to perform the
surgery. One of the tools is called a laparoscope. It is
a long tube with a light and camera at the end. The
camera lets your doctor see your ovaries and other
tissues inside your abdomen. The other tools are
used to remove tissue.
removes as much cancer
as possible. The extent of
the surgery depends on
how far the cancer has
spread. It may remove all
or part of nearby organs
such as your liver, spleen,
appendix, and bladder.
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