[Evaluation of second look laparotomy in the management of epithelial ovarian tumors. 88 interventions performed at the Dijon CAC between 1979 and 1990].
OBJECTIVE
To evaluate the second look laparotomy in the treatment and management of epithelial ovarian carcinoma.


METHODS
A retrospective study (1979-1990).


METHODS
Centre G.-F. Leclerc, Dijon.


METHODS
88 patients underwent a 2e look laparotomy during the period. Most of them (69.3%) were stage III or IV cancers.


RESULTS
The predictive value of a negative second look is of evidence: 5 years survival of 63% versus 4% if residual tumor is observed. Nevertheless the therapeutic value of a tumoral exenteration during the second look is not demonstrated: the 5 years survival is only of 7% for these patients.


CONCLUSIONS
This study demonstrates the importance of an appropriate surgery during the first look in the management of ovarian tumors. The contribution of the second look is primarily a prognostical contribution.
Ollivier
L
L
Unité de Chirurgie, Centre G.-F. Leclerc, Dijon.
Fraisse
J
J
Barillot
I
I
Mayer
F
F
Maingon
P
P
Cuisenier
J
J
D000206:Actuarial Analysis; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D008875:Middle Aged; D009367:Neoplasm Staging; D009375:Neoplasms, Glandular and Epithelial / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D010051:Ovarian Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D011237:Predictive Value of Tests; D011379:Prognosis; D012086:Reoperation / Q000379:methods; D012189:Retrospective Studies; D013531:Surgicenters; D016019:Survival Analysis; D015996:Survival Rate
Evaluation de la laparotomie de deuxième intention (second look) dans la prise en charge des tumeurs épithéliales de l'ovaire. 88 interventions réalisées au CAC de Dijon entre 1979 et 1990.