The National Institute for Health and Care Excellence (NICE) issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Ultra-radical (extensive) surgery for advanced ovarian cancer in November 2013. NICE is currently updating this guidance. The new guidance will be published shortly. Until then the NHS should continue to follow the recommendations outlined in the current version of the guidance. The Interventional Procedures Advisory Committee (IPAC) will consider this procedure review and NICE will issue an interventional procedures consultation document about its safety and efficacy for 4 weeks’ public consultation. IPAC will then review the consultation document in the light of comments received and produce a final interventional procedures document, which will be considered by NICE before guidance is issued to the NHS in England, Wales, Scotland and Northern Ireland.
Status In progress
Process IP
ID number 964
Description The aim of ultra-radical surgery for advanced ovarian cancer is to remove all visible disease, with a view to improving survival compared with standard (radical) surgery. Extensive or ultra-radical surgery for advanced ovarian cancer is a development and extension of standard (radical) surgery. The precise differences between these procedures are not well defined, but some typical features of ultra-radical surgery include: • stripping of the diaphragm • extensive stripping of the peritoneum • partial gastrectomy • cholecystectomy • liver resection • splenectomy • multiple resections of the bowel (excluding localised colonic resection).

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For further information on how we develop guidance, please see our page about NICE interventional procedures guidance