[Evolution and perspectives in the surgical treatment of ovarian cancer].

Owing to its anatomo-topographic features, ovarian carcinoma starts to disseminate at early stages. Views on surgical treatment are divided between radical removal of all metastatic tissues, and operation "within reasonable limits of safety". Volume of surgery is discussed on the basis of the available literature and our own data with due consideration of patterns of tumor dissemination and recurrence and a complex of intraperitoneal factors. Potential of nanotechnologies and, in particular, photodynamic therapy of relapsing canceromatosis of the peritoneum is discussed.