Total gastrectomy en bloc with total pancreatoduodenectomy, splenectomy, portal vein and celiac axis resection for isolated recurrence from epithelial ovarian cancer – A case report

Although the development of upper abdominal metastases in relapsed ovarian cancer has been considered as a sign of biological aggressive disease once the surgical techniques improved these extended resections have been successfully implemented in the armamentarium of cytoreductive surgery. Case: a 54 year old patient diagnosed with an isolated metastasis at the level of upper abdomen invading the pancreatic head, the portal vein and the common hepatic artery was submitted to surgery. Venous reconstruction was performed by using a Goretex patch while arterial reconstruction was performed by using a saphenous graft which was placed between the celiac trunk and the proper hepatic artery. Conclusion: extended local visceral and vascular resections might be needed in order to achieve complete cytoreduction for relapsed ovarian cancer.