[Peritoneoectomy in the surgical treatment of advanced ovarian cancer. Stages III and IV].

Extirpation of so-called inoperable "over-run" stages III and IV ovarian cancer is possible. This exeresis is based on the essentially peritoneal extension of the disease and the use of a retroperitoneal dissection plane. The complex operation involves the total abdomen and includes exeresis of all the parietal peritoneum, a right and left colectomy and a posterior pelvectomy. It does not appear mutilating but is sufficiently complex to justify the present technical description. It gives a real efficiency to chemotherapy which follows it.