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. 2013 Sep;73(9):874–889. doi: 10.1055/s-0033-1350713
No. Recommendations/Statements GR LoE Sources
7.6. The goal of primary surgery to treat advanced ovarian cancer must be macroscopically complete resection. CC
7.7. Multivisceral resection must be carried out if complete resection (free of residual macroscopic tumour) can be achieved or if it can be used to remove an obstruction and is not contraindicated in this patient. CC
7.8. If advanced ovarian cancer is unexpectedly diagnosed, this must be confirmed histologically and the extent of spread described. The definitive treatment must then be carried out by a gynaecological oncologist in a suitable facility. A 4 Guidelines: 2 Primary studies: 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89
7.9. Patients obtain no benefit from primary chemotherapy followed by interval operation. ST 1+ Guidelines: 1 Primary studies: 90, 91, 92, 93, 94, 95
7.10. The sequence of therapy must consist first of primary surgery followed by chemotherapy. A 1+ Guidelines: 1 Primary studies: 90, 91, 92, 93, 94, 95
7.11. Second-look operations must not be carried out. CC