[Surgical removal of diaphragmatic metastasis of advanced ovarian cancer. Review of the literature].
Many studies have established the close relationship between the survival and the residual tumoral volume after a first maximal cyto-reducing surgery. In that light, the surgical exeresis of the metastatic lesions should facilitate the response to chemotherapy. In this respect, the diaphragm metastases of ovarian cancers prove to be worthy of the highest interest due to the difficulty of their surgical approach. Several techniques for the exeresis of these secondary peritoneal localizations have been reported, using various processes (electrocoagulation, laser vaporization, classic surgical exeresis) and more recently, the ultrasound dissector. After a review of the literature on 43 cases, the authors draw the attention on the approach and surgical exeresis methods for these metastases. If these techniques prove to be quite feasible, with an acceptable morbidity rate, only a great hindsight, together with more observations, will enable the assessment of the benefit in terms of survival.
Rodier
J F
JF
Département de Chirurgie Oncologique, Centre Régional de Lutte contre le Cancer Paul-Strauss, Strasbourg.
Janser
J C
JC
Rodier
D
D
D003964:Diaphragm; D005260:Female; D006801:Humans; D009362:Neoplasm Metastasis; D009369:Neoplasms / Q000601:surgery*; D010051:Ovarian Neoplasms / Q000473:pathology*
Chirurgie d'exérèse des métastases diaphragmatiques des cancers avancés de l'ovaire. Revue de la littérature.