En bloc pelvic resection of ovarian cancer with rectosigmoid colectomy: a literature review

Myeong-Seon Kim; Joseph J Noh; Yoo-Young Lee

doi:10.21037/gs-19-540

En bloc pelvic resection of ovarian cancer with rectosigmoid colectomy: a literature review

Gland Surg. 2021 Mar;10(3):1195-1206. doi: 10.21037/gs-19-540.

Authors

Myeong-Seon Kim¹, Joseph J Noh², Yoo-Young Lee²

Affiliations

¹ Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
² Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Abstract

Maximal cytoreductive surgery is an important prognostic factor in advanced epithelial ovarian cancer (EOC). To achieve maximal cytoreductive surgery, en bloc pelvic resection with rectosigmoid colectomy can be an effective surgical strategy. This surgical methodology was first described in 1968 as "radical oophorectomy." Since then, it has been adopted by many medical institutions around the world, and its safety has been shown by many studies. However, research on the surgical method is still lacking due to the limited number of prospective comparative studies. We will review the journals on en bloc pelvic resection with rectosigmoid colectomy published to date and discuss its efficacy, complications, and surgical techniques of the procedures.

Keywords: Ovarian cancer; colectomy; cytoreductive surgery; en bloc pelvic resection with rectosigmoid colectomy; optimal debulking; ovarian neoplasms/surgery; ovariectomy/methods; radical oophorectomy.

Publication types

Review