[Chirurgie des cancers de l'ovaire].

OVARIAN CANCER SURGERY Surgery has a central role in the management of patients with epithelial ovarian cancer, and the quality of its implementation is a factor influencing the prognosis. For advanced stages, it is schematically based on two main steps: peritoneal cytoreductive surgery, and pelvic and para-aortic lymph node dissections. While the prognostic impact of reducing the peritoneal tumor burden has been well demonstrated (with the objective of no macroscopic residue at the end of the procedure), the prognostic impact of lymph node surgery is still debated in certain indications. Other questions are discussed, such as the place of surgery in the first-line therapeutic sequence (primary/upfront surgery or after neoadjuvant chemotherapy), the indication of intraperitoneal hyperthermic chemotherapy, or the role of surgery in recurrence situations.