Standardized Operative Note

Checklist for Ovarian Cancer Operative Note Dictation

Please make sure to include the following data elements in your operative note.

Debulking Status – Primary vs. Interval Debulking
Staging Information – If available based on imaging (for example, at least stage IIIc for a patient with a biopsy-proven lesion of the omentum) Link to ovarian cancer staging
Surgery Type – Open/Robotic/Laparoscopic
Residual Disease Status – Please specify if:
- No residual disease (R0 or no visible disease)
- Optimally debulked (1-5 mm largest visible disease)
- Optimally debulked (6-10 mm visible disease)
- Sub-optimally debulked (>10 mm disease residual)
  - For suboptimally debulked patients, specify the size and location of residual disease
Surgical Complexity Scoring – Use the calculator below to get the score
_{(Aletti GD, Dowdy SC, Podratz KC, Cliby WA. Relationship among surgical complexity, short-term morbidity, and overall survival in primary surgery for advanced ovarian cancer. Am J Obstet Gynecol. 2007;197(6):676.e1-e7.)}

Please make sure to include the following data elements in your operative note.

Staging Information – If available based on imaging Link to cervical cancer staging
Histology – Squamous Cell Cancer/Adenocarcinoma/Adenosquamous Carcinoma/Small Cell Cancer
Grade – 1/2/3
Surgery Type – Open/Robotic/Laparoscopic
Nodal Dissection – Full Nodes/Sentinel (include locations and site mapping details)
Ovaries – Removed/Not Removed/One Removed
Ovarian Transposition – Done/Not Done

Please make sure to include the following data elements in your operative note.

Surgery Type – Open/Robotic/Laparoscopic
Nodal Dissection – Full Nodes/Sentinel (include locations and site mapping details)
Pelvic Washings – Done/Not Done
Complications During Surgery