1152 En-block cytoreduction for advanced ovarian cancer

<h3>Introduction/Background*</h3> Surgical procedures in primary debulking operations are challenging. Teaching these procedures in young Gynae/Oncologist aslo poses significant difficulties. En-block systematic excision of specimens could possibly lead to better undersatnding of peritoneal anatomy and facilitate training. <h3>Methodology</h3> Primary debulking for advanced ovarian cancer in a 64 year old patient with stage 3C high grade serous ovarian cancer. The operation was performed in a systematic way allowing for excision of the spleen, omentum, right diaphragmatic peritoneum, Morrison’s pouch peritoneum, lateral abdominal peritoneum, uterus, ovaries, tubes, rectosigmoid colectomy and pelvic peritoneum in one single specimen. <h3>Result(s)*</h3> Complete cytoreduction was acheived with minimal blood loss. The patient went home on post op day 7 <h3>Conclusion*</h3> En-block excision of specimens in advanced ovarian cancer might be a good method of training young Gynae/Oncologist in performing primary debulking operations for advanced ovarian cancer