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On multivariable analysis, nodal involvement (p=0.05), selective peritonectomy (p=0.001) and leaving behind residual disease 0.25mm (CC1) (p=0.01) was associated with increased risk of disease recurrence. Extent of peritonectomy (OS,p=0.56, PFS p=0.047, Log Rank test) and nodal positivity (OS, p=0.13,PFS,p=0.057, Log Rank test) were found to impact progression free survival but had no impact on overall survival. There is a higher incidence of systemic recurrences in patients with Stage IIIC/IVA epithelial ovarian carcinoma after CRS