**9. Conclusion**

*Ovarian Cancer - Updates in Tumour Biology and Therapeutics*

In terms of multiorgan resections of note are cases of associations between posterior pelvic exenteration, right hemicolectomy and resection of liver metastases, resection of ureter, bladder horn and uretero-vesical reimplantation, total colectomy with extended jejuno-ileal enterectomy, entero-enteral anastomosis and right iliac terminal ileostomy, association of posterior exenteration with regulated left hepatic lobectomy and radiofrequency thermoablation of liver metastasis.

*Intraoperative pictures showing multiple organ resections in a patient with recurrent ovarian carcinoma.*

**120**

**Figure 7.**

**Figure 6.**

*Radicality of resection in our experience.*

Cytoreductive surgery and HIPEC now offer an alternative to ovarian cancer patients that were once considered inoperable and in high-volume centers the complications are minimal. This chapter provides insight into the technique of cytoreductive surgery and HIPEC and presents our experience with these techniques.
