🎗️ Ovarian Cancer Fagotti Laparoscopic Score
Score seven diagnostic-laparoscopy findings (each 0/2) to predict optimal cytoreduction in advanced ovarian cancer; PIV ≥ 8 favours neoadjuvant chemotherapy. Instant, browser-side.
Ovarian Cancer Fagotti Laparoscopic Score
Peritoneal carcinomatosis (extensive/miliary, unresectable)
Diaphragmatic carcinomatosis (extensive infiltration/confluent nodules)
Mesenteric retraction (root infiltration/retraction)
Omental cake (spread to the greater curvature of the stomach)
Bowel infiltration (resection required / serosal miliary)
Stomach infiltration (gastric wall involvement)
Liver surface metastasis (surface lesion > 2 cm)
When to use
Laparoscopic resectability assessment to guide primary debulking vs neoadjuvant chemotherapy in advanced ovarian cancer.
How it works
Predictive index value (PIV) = sum of 7 findings each 0 or 2 (peritoneal/diaphragmatic carcinomatosis, mesenteric retraction, omental cake, bowel/stomach infiltration, liver surface metastasis), max 14. PIV ≥ 8 → optimal cytoreduction unlikely.
Key points
- Optimal cytoreduction here is defined as residual disease < 1 cm.
- A PIV ≥ 8 has a very high specificity/PPV for failing optimal cytoreduction and favours neoadjuvant chemotherapy + interval debulking.
- Diagnostic laparoscopy reduces the rate of futile (open-and-close) laparotomy.
- Complementary to the Suidan score (CT/clinical) and overall fitness and imaging assessment.
References
Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.