3 The procedure

3 The procedure

3.1 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.

3.2 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

  • multiple resections of the bowel (excluding localised colonic resection)

  • liver resection

  • partial gastrectomy

  • cholecystectomy

  • splenectomy.

  • National Institute for Health and Care Excellence (NICE)