The “Sandwich-Technique” of diaphragmatic stripping or full-thickness resection for advanced ovarian cancer: how to keep it fast and simple

Objective: Residual tumor is the most important prognostic factor in advanced ovarian cancer patients. A recent analysis from a large GOG trial identified the diaphragm as the most common localization for residual tumor after surgery in advanced ovarian cancer. This stresses the need for more knowledge and training in diaphragmatic surgery in patients with advanced ovarian cancer. Methods/materials: We aim to describe a safe, structured technique to perform resection of the peritoneal diaphragm or full thickness resection of the diaphragm. Results: The structured technique consists of five steps: 1. Knowledge of…