Cytoreductive surgery: Upper abdomen-left hypochondriac and epigastric regions

Alejandra Martinez, Krishnansu S. Tewari, Gwénael Ferron, Pedro T. Ramirez

Research output: Chapter in Book/Report/Conference proceedingChapter


INTRODUCTION The left hypochondriac and epigastric regions of the abdomen are involved with metastatic disease in more than 60% of patients with advanced ovarian cancer (1). Anatomic proximity of the greater omentum and gastrocolic ligament to the spleen, pancreatic tail, transverse colon, left hemidiaphragm, and stomach predisposes patients to tumor spread by contiguous extension. The splenic hilum, the left hemidiaphragm, and, in rare occasions, the stomach are also a site of independent metastases.

Original languageEnglish (US)
Title of host publicationSurgery for Ovarian Cancer
Subtitle of host publicationPrinciples and Practice
PublisherCRC Press
Number of pages21
ISBN (Electronic)9781841847825
ISBN (Print)9781841847061
StatePublished - Jan 1 2010

ASJC Scopus subject areas

  • Medicine(all)


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