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Ann Surg. 1995 Jan;221(1):29-42.

Peritonectomy procedures.

Author information

  • Cancer Institute, Washington Hospital Center, Washington, District of Columbia 20010.

Abstract

OBJECTIVE:

New surgical procedures designed to assist in the treatment of peritoneal surface malignancy were sought.

BACKGROUND:

Decisions regarding the treatment of cancer depend on the anatomic location of the malignancy and the biologic aggressiveness of the disease. Some patients may have isolated intra-abdominal seeding of malignancy of limited extent or of low biologic grade. In the past, these clinical situations have been regarded as lethal.

METHODS:

The cytoreductive approach may require six peritonectomy procedures to resect or strip cancer from all intra-abdominal surfaces.

RESULTS:

These are greater omentectomy-splenectomy; left upper quadrant peritonectomy; right upper quadrant peritonectomy; lesser omentectomy-cholecystectomy with stripping of the omental bursa; pelvic peritonectomy with sleeve resection of the sigmoid colon; and antrectomy.

CONCLUSIONS:

Peritonectomy procedures and preparation of the abdomen for early postoperative intraperitoneal chemotherapy were described. The author has used the cytoreductive approach to achieve long-term, disease-free survival in selected patients with peritoneal carcinomatosis, peritoneal sarcomatosis or mesothelioma.

PMID:
7826158
[PubMed - indexed for MEDLINE]
PMCID:
PMC1234492
Free PMC Article
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