Supragastric lesser sac: an insidious site for surgical exploration during the debulking surgery in advanced ovarian cancer.

ABSTRACT:

Objective

Metastases in the supragastric lesser sac (SGLS) are not only occult but are also barriers to complete resection of ovarian cancer. We describe a cohort of patients with SGLS disease undergoing debulking surgery.

Methods

We identified all patients who underwent evaluation and eventual resection of SGLS disease as part of cytoreductive surgery for stage IIIC-IVB high-grade epithelial ovarian cancer at our institution from January 2018 to August 2022.

Results

Thirty-three of 286 patients (11.5%) underwent resection of SGLS disease. Metastases in the SGLS were identified by preoperative imaging in 4 of 33 patients (12.1%). The median peritoneal cancer index score was 22 (range, 9-33). Through surgical exploration, metastases were frequently seen in the right di

SUBMITTER: Chen Y 

PROVIDER: S-EPMC11107271 | biostudies-literature | 2024 May

REPOSITORIES: biostudies-literature