Ovarian cancer: Surgical considerations

Kara C. Long, Dennis S. Chi

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Cytoreductive surgery (CRS) followed by platinum-based chemotherapy is the cornerstone of treatment for advanced epithelial ovarian cancer (EOC). While elderly patients are generally at an increased risk for perioperative morbidity, many studies demonstrate that the elderly are just as likely to bene fi t from aggressive standard of care treatment as are younger patients. Despite this, elderly patients with cancer are more likely to undergo substandard surgical management, resulting in poorer disease-speci fi c and overall survival. In order to optimize the bene fi t of CRS while minimizing the risks of perioperative complications, patients must be carefully selected and prepared for surgery. The following chapter presents the current evidence regarding CRS in older patients and reviews important aspects of patient selection, preoperative preparation, intraoperative techniques, postoperative care, and management of complications in older patients with EOC.

Original languageEnglish (US)
Title of host publicationManagement of Gynecological Cancers in Older Women
PublisherSpringer-Verlag London Ltd
Pages151-170
Number of pages20
ISBN (Electronic)9781447146056
ISBN (Print)9781447122159
DOIs
StatePublished - Jan 1 2013

Keywords

  • Cytoreductive surgery
  • Elderly
  • Ovarian cancer
  • Perioperative care
  • Postoperative complication

ASJC Scopus subject areas

  • Medicine(all)

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