晚期卵巢癌的初始治疗是个体化的决策过程。先通过腹腔镜探查查明腹腔内病灶的播散情况和严重程度，以帮助临床医生判断达到满意肿瘤细胞减灭术的可能性，从而决定是否进行开腹细胞减灭手术。然而，尽管具有理论的可行性和文献的支持，腹腔镜探查术在晚期卵巢癌中的临床应用却存在一定的局限性，其临床价值有待进一步研究。

Abstract: The primary management of advanced ovarian cancer is an individualized decision-making process. Laparoscopy provides an insight into disease distribution for individuals, by which the performance of subsequent debulking surgery can be determined. However, despite the theoretical feasibility and some supportive studies, there exist some limitations hindering the use of laparoscopy in determining whether to be able to reach optimal cytoreduction for each patient with advanced ovarian cancer. Hence, the clinical value of this procedure remains to be demonstrated by further investigations.