Debulking surgery, also known as cytoreductive surgery, is a cornerstone of treatment for advanced gynecologic cancers, especially ovarian cancer. Its goal is to surgically remove as much of the visible tumor as possible to enhance the effectiveness of subsequent therapies like chemotherapy or HIPEC.
There are two types - primary cytoreductive surgery (performed before chemotherapy), interval cytoreductive surgery (done after a few cycles of chemotherapy to shrink the tumor first). The choice depends on disease extent, your overall health, and multidisciplinary team assessment.
Cytoreductive surgery maybe be recommended for advanced-stage gynecological cancer, especially ovarian cancer, cancer that has spread within the abdominal cavity, those fit enough for major surgery and can tolerate the recovery process, and cancers sensitive to chemotherapy.