Abstract: Ovarian cancer is a common malignant tumor in female becoming one of the major causes of mortality among malignant gynecologic diseases, which threaten to the life and health of women seriously. Most women present with advanced-stage disease, Intraperitoneal dissemination is the most common route of spread of ovarian cancer. The pleural cavity is the most frequent extra-abdominal metastatic site. The rate of pleural involvement was probably underestimated in patients with advanced ovarian carcinoma, and pleural lesions have not been paid enough attention. In recent years, video-assisted thoracoscopic surgery (VATS) was gradually used in advanced ovarian cancer, which could delineate the extent of intrathoracic disease and modify the management strategy. It can also make more accurate surgical staging, and permits complete cytoreduction in some patients. VATS is safe and feasible.

Key words: Thoracoscopes, Thoracoscopy, Ovarian neoplasms, Neoplasm metastasis, Antineoplastic protocols