Submitted by Erin OConnell on

Do you use minimally invasive surgery for interval debulking?
 

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Comments

Joshua Cohen replied on

I am glad there is an ongoing prospective trial to help answer this question.  I think we have less high level data for this than HIPEC, yet HIPEC seems more controversial than interval MIS surgery. If great response on imaging, then I will discuss with patient pros/cons and limited available prospective data. 

Joshua Cohen replied on

Sharmilee Korets replied on

i have found that most patients who had a high enough disease burden to warrant neoadjuvant chemo are not candidates for MIS surgery based on disease burden at interval cytoreduction.  however, depending on response, as well as patient comorbidities, there are certain specific patients in whom i will present this for shared decision making. 

Sharmilee Korets replied on

Noelle Cloven replied on

I've done Robotic interval debulking very rarely in patients with negative exam and CT after neoadjuvant  chemo.  It's not my standard approach. I prefer laparotomy for better visualization and more optimal debulking 

Noelle Cloven replied on

Noelle Cloven replied on

I've done Robotic interval debulking very rarely in patients with negative exam and CT after neoadjuvant  chemo.  It's not my standard approach. I prefer laparotomy for better visualization and more optimal debulking 

Noelle Cloven replied on