CT prior to second-look operation in XXXX .

@entity1 @entity43 @entity1625 @entity66 @entity5 @entity189
Second-look surgery is used in restaging @entity1 with @entity43 to define sites of recurrence, plan therapy, and perform @entity5 debulking. We evaluated the role of CT in detecting residual or recurrent @entity5 in 55 @entity1 in whom 64 abdominopelvic CT scans were obtained. Forty-eight @entity1 underwent a second-look operation, and eight of these @entity1 had an additional third-look operation. CT correctly identified 17 (85%) of 20 cases with residual or recurrent pelvic disease and three (75%) of four cases with bulky @entity1625 . CT failed to detect @entity5 in any of the five cases with minimal @entity66 and was able to detect @entity189 in only two (8%) of 24 cases. In four cases, CT detected pelvic disease not identified on clinical pelvic examination. On the 56 scans in 48 @entity1 with surgical proof (280 surgical findings), CT had a sensitivity of 40% (22/55) and a specificity of 99% (224/225). In seven additional @entity1 , second-look laparotomy was canceled because of CT findings of extensive, unresectable @entity5 . We conclude that CT provided valuable information regarding residual or recurrent @entity5 prior to second- and third-look surgery. In selective cases, CT findings obviated unnecessary surgery. However, the CT's lack of sensitivity in identifying minimal @entity66 and @entity189 precludes its use as a substitute for second-look surgery.
