Advanced ovarian cancer Cytoreductive surgery Complete cytoreduction PlasmaJet Hoogstadium eierstokkanker Complete debulking chirurgie
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: -patients with epithelial ovarian, tuba or peritoneal carcinoma FIGO IIIB-IV who are fit enough to undergo radical cytoreductive surgery as discussed in the multidisciplinary tumor board. Patients can either be scheduled for primary cytoreduction or for interval cytoreduction after neoadjuvant chemotherapy. -patients should understand the patient information form and sign informed consent. -pre-operative CT scan meets criteria for resectability
Exclusion criteria
Exclusion criteria: -patients who are not willing to participate or not able to give their informed consent (language barrier) and patients who are not willing to undergo extensive surgery. -patients who are unfit to undergo extensive surgery (assessed by gynaecologist and anaesthesiologist and discussed in MDO). -patients who are not fit enough to get the standard complete chemotherapy (six cycles carboplatin paclitaxel) (assessed by medical oncologist and discussed in multidisciplinary tumor board). -patients with a non-epithelial, borderline ovarian tumour or an ovarian metastasis of another primary tumour. -patients with recurrence of ovarian cancer
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of complete cytoreductive surgery in the PlasmaJet versus control group with electrosurgery. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Complications (30-day morbidity) 2. Quality of life 3. Duration of surgery 4. Blood loss 5. Length of hospital stay 6. Disease-free survival 7. Overall survival 8. Percentage of patients who have received a colostomy to achieve complete cytoreductive surgery 9. Cost per complete cytoreductive surgery and per life year gained | — |
Contacts
Erasmus MC