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Surgery for Ovarian Cancer – Principles and Practice

This is a comprehensive textbook on ovarian cancer with a focus on the surgical aspects of managing the disease. It is well written and laid out in logical chapters focusing mainly on basic anatomy, surgical management of early disease and cytoreductive surgery in advanced disease. Much detail is given on preoperative assessment of women, who tend to be elderly and at high risk for surgery.

The management of advanced disease is changing, with a shift from upfront surgery followed by postoperative chemotherapy to neoadjuvant treatment. The question of timing of surgery is currently being addressed in national trials. The book briefly touches on this controversial area. Also, some areas of surgical treatment and its potential benefit are being hotly debated in the UK, including ultra-radical surgery, such as bowel resection, liver resection, diaphragm stripping and splenectomy. These techniques are discussed in some detail; clinicians should really ask themselves whether this treatment could be justified in light of the favourable response ovarian cancer has to chemotherapy. UK practice does differ to that in the USA, where ultra-radical surgery would be carried out within a team, which would include colorectal surgeons and urologists, rather than by gynaecological oncologists alone. Perhaps too much detail is given to techniques of bowel resection and urological repair, but the chapters are relevant to the gynaecological oncologist. There are well written chapters on the difficulties of second-look and palliative surgery. Laparoscopic surgery is covered in detail.

This book will be of interest to gynaecological oncologists, including consultants and subspecialty trainees, although at £199 it does not come cheap.

David Nunns, MRCOG, Consultant Gynaecological Oncologist¹

^1. Nottingham City Hospital, UK

Taylor & Francis/Informa Healthcare, 2005
ISBN 9781842141656
Hardcover, 438 pages, £199.00

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