Abstract
103 patients had a second-look operation in the course of management of cancer of the ovary. Patients were stratified according to three indications: (1) resection of the residual tumor following chemotherapy, (2) evaluation of the disease with intents to stop chemotherapy and assess signs of recurrence or persistence, and (3) surgical indication. The first group consisted of 34 patients. In 30 of 34 patients in this group, complete or incomplete removal of the residual tumor was possible, and the survival curves indicated that removal of the residual tumor during the second look operation improved the survival rate. The second group consisted of 50 patients. No evidence of disease was found in 35 of the 50 patients in this group. Four patients with negative second-look operations developed recurrences, and 3 patients died from the disease.
