Charts of patients with ovarian cancer from 1998 to 2002 were retrospectively reviewed.
One hundred and forty patients were treated for ovarian cancer. Sixty-three patients (45 % ) were elderly (≥65 years), and 69 patients (49 % ) had comorbidities. Optimal debulking (≤1 cm) was achieved in 123 patients (88 % ). There was no significant relation between complications and type of procedure, elderly age, comorbidities, or transfusions. Optimally debulked patients had a significantly longer survival than patients with suboptimal debulking (P < .001).
Aggressive optimal cytoreduction can be achieved in the majority of patients with multiple surgical risk factors and is associated with a low complication rate.