Optimal surgical cytoreduction of the upper abdomen and the diaphragm for advanced ovarian cancer using PlasmaJet™ energy.

OBJECTIVE: To show the contribution of PlasmaJet™, technology using pur gaz plasma as electrically neutral source of energy to cut and coagulate tissue, in ovarian cancer surgery.

METHODS: A forty eight years old patient was diagnosed with an ovarian cancer. The first laparoscopy allowed one to make histological diagnosis (ovarian high-grade serous carcinoma) and determine that the disease was resecable, with a PCI to ten. The film shows the upper abdominal time of the cytoreduction surgery, using PlasmaJet™.

RESULTS: The surgery included: stripping of the peritoneum of the right diaphragm and full thickness diaphragmatic resection, stripping of the peritoneum of left diaphragm splenectomy, resection of the greater and the lesser omentums, pelvic lymphadenectomy and para-aortic lymphadenectomy, posterior pelvectomy (Hudson) and appendicectomy. There were no postoperative complications (short or medium term).

CONCLUSION: The PlasmaJet seems to be a very interesting instrument in this type of surgery, particularly in the dissection of adherent pathological areas, as diaphragmatic domes can be.