Perioperative ovarian cancer guidelines: prevention and management of upper abdominal complications

More than half of patients with advance ovarian cancer will require upper abdominal and multivisceral debulking techniques so that total macroscopic tumor clearance can be achieved, including diaphragmatic surgery, liver resection, splenectomy, distal pancreatectomy, gastric resection, and portoceliaccardiophrenic lymphadenectomy. 2 Extensive surgery may be associated with significant morbidity, such as biliary duct injury, biliary leaks, bleeding, pancreatic fistula formation, ureteric and bladder injuries, and fistula. 4 Precise surgery based on anatomical dissection planes is crucial to prevent complications. In addition, early recognition and management of complications have vital importance. Close cooperation between surgeons, radiologists, and interventional radiologists is required to determine the best Christina Fotopoulou Gynaecologic Oncology, Imperial College London Faculty of Medicine, London, UK