En bloc pelvic resection of ovarian cancer with rectosigmoid colectomy: a literature review

Maximal cytoreductive surgery is an important prognostic factor in advanced epithelial ovarian cancer (EOC). To achieve maximal cytoreductive surgery, en bloc pelvic resection with rectosigmoid colectomy can be an effective surgical strategy. This surgical methodology was first described in 1968 as radical oophorectomy. Since then, it has been adopted by many medical institutions around the world, and its safety has been shown by many studies. However, research on the surgical method is still lacking due to the limited number of prospective comparative studies. We will review the journals on en bloc pelvic resection with rectosigmoid colectomy published to date and discuss its efficacy, complications, and surgical techniques of the procedures.

Automated summary

Maximal cytoreductive surgery is crucial for prognosis in advanced epithelial ovarian cancer, with en bloc pelvic resection and rectosigmoid colectomy being considered an effective surgical strategy. Despite widespread adoption and demonstrated safety, limited research has led to ongoing debates regarding the efficacy of this surgical approach.