Intrathoracic Cytoreductive Surgery By Video-Assisted Thoracic Surgery In Advanced Ovarian Carcinoma

Objective: Primary surgical debulking is a fundamental component of ovarian cancer treatment in patients with advanced-stage disease at initial presentation. Our institutional practice has been to consider video-assisted thoracic surgery (VATS) in any patient with any evidence of intrathoracic disease. The goal is to obtain an intrathoracic residual disease burden <1 cm. This video demonstrates the algorithm used at our institution to select patients for a VATS and intrathoracic cytoreductive surgery, as well as the techniques used for simple and complex intrathoraic cytoreduction and lung wedge resection. The multidisciplinary surgical approach to patients with advanced ovarian carcinoma results in an increased number of patients who benefit from an optimal cytoreduction. *With video.