Abstract
This chapter focuses on the implications and technique for surgical staging of early-stage ovarian cancer. A minority of patients with epithelial ovarian cancer will have disease confined to the ovary or extra-ovarian pelvis and can be expected to have a favorable long-term survival outcome. The rationale for this surgical approach is in cases in which metastatic ovarian cancer involves the lower uterine segment, and resection of the cervix is judged to be associated with increased morbidity. For the surgeon, an intimate knowledge of the surgical staging techniques and their clinical applications described in the preceding pages are prerequisites for the safe and successful management of patients with apparent early-stage ovarian cancer. The chapter discusses the implications of various types of abdominal incisions on postoperative healing. Standard management of epithelial ovarian cancer involves abdominal hysterectomy, bilateral salpingo-oophorectomy, and staging biopsies.
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