Peritonectomy is a crucial part of the surgical treatment for ovarian cancer. Visual inspection and palpation are not reliable methods for determining the extent of tumour involvement. Gynecologic oncologists are suspicious about the benefits of a full peritonectomy, concerned about the benefits and hazards.
The removal of the entire parietal peritoneum may be of no benefit if the visceral peritoneum is not removed, but there was a higher incidence of overt and occult disease in parietal peritoneal regions compared to visceral regions, implying that removal of the entire parietal peritoneum may be beneficial.
Aim of the work
The aim of this study was to compare between total peritoneal paracolic gutter removal and random paracolic peritoneal biopsy in cases of ovarian cancer.
PATIENTS and Methods
PATIENTS
This prospective study was conducted on 130 patients with early ovarian cancer in El-shatby hospital, Faculty of Medicine, Alexandria University.
For each patient, we took random and total paracolic peritoneal biopsy and compared between them regarding timing, post operative complications, and histopathological results.
Inclusion criteria: suspected ovarian cancer using IOTA score, absence of nodules in the peritoneal gutter using CT and staging laparotomy for primary ovarian cancer.