The role of cytoreductive surgery in advanced carcinoma of the ovary: an analysis of primary and second surgery

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Abstract
Second operations were performed as part of planned management in 53 patients 5-7 mo. after starting apparently successful chemotherapy. The survival of these patients is compared with 56 other patients who did not have a 2nd laparotomy but appeared to be responding to chemotherapy equally well. Survival advantage was seen for those who had a partial remission followed by a further debulking procedure later. However, those patients who have a clinical complete remission do not seem to benefit from a 2nd surgical intervention.

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