Advanced cytoreductive surgery: American perspective Journal Article
| Authors: | Zivanovic, O.; Aldini, A.; Carlson, J. W.; Chi, D. S. |
| Article Title: | Advanced cytoreductive surgery: American perspective |
| Abstract: | Over the past 3 to 4 decades a special knowledge and understanding of the pathophysiology and behavior of gynecologic peritoneal surface malignancies has led to a significant improvement of the relevant treatment modalities, mirroring advances in chemotherapy approaches and improved knowledge of tumor biology. The surgical management of advanced ovarian, primary peritoneal, and fallopian tube cancers has evolved from the performance of basic gynecologic procedures to the incorporation of more comprehensive surgical procedures. This extensive surgical approach is of great importance for estimating the prognosis and guiding further treatment of affected patients. These complex procedures involving multi-organ resections are generally long and require excellent knowledge of upper abdominal anatomy. This article will focus on the role and program development of advanced cytoreductive surgery in patients with gynecologic peritoneal malignancies. This review is an attempt to provide guidance for the rationale and strategic approach to develop the surgical skill set, meet institutional requirements, and implement the concept of a comprehensive cytoreductive surgical team. © 2008 Elsevier Inc. All rights reserved. |
| Keywords: | cancer survival; cancer surgery; splenectomy; advanced cancer; patient selection; cancer patient; pancreas resection; cancer staging; lymph node dissection; ovarian cancer; cytoreductive surgery; ovarian neoplasms; quality control; ovary cancer; peritoneum cancer; peritoneal neoplasms; morbidity; clinical protocol; practice guideline; cancer mortality; postoperative complication; cancer center; preoperative period; radiologist; minimal residual disease; education; patient safety; liver resection; medical specialist; predictor variable; gynecologic surgical procedures; platinum derivative; ca 125 antigen; cytoreduction; taxane derivative; optimal cytoreduction; abdominal surgery; fallopian tube neoplasms; cholecystectomy; liver hilus; gynecologic cancer; diaphragm; hospital personnel; upper abdominal disease; abdominal disease; uterine tube tumor |
| Journal Title: | Gynecologic Oncology |
| Volume: | 114 |
| Issue: | 2 SUPPL. |
| ISSN: | 0090-8258 |
| Publisher: | Elsevier Inc. |
| Date Published: | 2009-08-01 |
| Start Page: | S3 |
| End Page: | S9 |
| Language: | English |
| DOI: | 10.1016/j.ygyno.2008.11.033 |
| PUBMED: | 19573703 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 4" - "Export Date: 30 November 2010" - "CODEN: GYNOA" - "Source: Scopus" |
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