SummaryIntroductionPatients with advanced ovarian cancer often require radical cytoreductive surgery and chemotherapy, with or without targeted therapy. Return to intended oncological therapy after surgery is a crucial metric, as delay can worsen survival. The concept of return to intended oncological therapy is important because it highlights the need for not just successful surgical outcomes, but also the ability to continue with the comprehensive cancer treatment plan.MethodsA comprehensive review of the literature was conducted to identify relevant English language studies published from January 2010 to September 2024.ResultsDelayed return to intended oncological therapy after surgery was associated with poor survival outcomes in ovarian cancer. This narrative review investigates how pre‐operative counselling and education; optimisation of the patient's medical condition; meticulous surgical planning and execution; early recognition of complications; and comprehensive postoperative care influence return to intended therapy in gynaecological surgery. Effective multidisciplinary care involving anaesthetists; nurses; physiotherapists; dietitians; psychologists; and the patient's relatives or friends, can prevent complications and ensure timely return to intended oncological therapy.DiscussionAwareness and management of factors affecting return to intended oncological therapy are essential for improving outcomes in patients with advanced ovarian cancer. We highlight the importance of multidisciplinary care (including enhanced recovery after surgery programmes) and the factors affecting these including age; nutrition; and occurrence of postoperative complications.

中文翻译：

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晚期卵巢癌手术后恢复预期的肿瘤治疗：叙述性回顾


摘要简介晚期卵巢癌患者通常需要根治性细胞减灭术和化疗，联合或不联合靶向治疗。手术后恢复预期的肿瘤治疗是一个关键指标，因为延迟会恶化生存率。恢复预期的肿瘤治疗的概念很重要，因为它强调不仅需要成功的手术结果，还需要继续实施综合癌症治疗计划的能力。方法对文献进行全面回顾，以确定 2010 年 1 月至 2024 年 9 月发表的相关英语研究.结果手术后延迟恢复预期的肿瘤治疗与卵巢癌的不良生存结果相关。本叙述性综述调查了术前咨询和教育;优化患者的医疗状况;细致的手术计划和执行;及早发现并发症;以及全面的术后护理影响妇科手术对预期治疗的回归。涉及麻醉师的有效多学科护理;护士;物理 治疗 师;营养 师;心理学 家;以及患者的亲属或朋友，可以预防并发症并确保及时恢复预期的肿瘤治疗。讨论对影响预期肿瘤治疗恢复的因素的认识和管理对于改善晚期卵巢癌患者的预后至关重要。我们强调了多学科护理（包括手术后加速恢复计划）的重要性以及影响这些因素的因素，包括年龄;营养;以及术后并发症的发生。