Peritonectomy procedures
P H Sugarbaker, P H Sugarbaker
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.
References
- Am J Obstet Gynecol. 1974 Aug 1;119(7):991-4
- Pharmacology. 1978;17(6):330-40
- Cancer Res. 1981 May;41(5):1916-22
- Semin Oncol. 1987 Mar;14(1):65-74
- Dis Colon Rectum. 1987 Oct;30(10):772-9
- Cancer Res. 1987 Nov 15;47(22):5810-24
- Eur J Surg Suppl. 1991 May;(561):75-82
- Can J Surg. 1989 May;32(3):164-70
- Semin Oncol. 1989 Aug;16(4 Suppl 6):83-97
- Dis Colon Rectum. 1988 Jan;31(1):1-4
- Acta Med Austriaca. 1989;16(3-4):57-60
- Cancer. 1990 Apr 1;65(7):1495-501
- J Surg Oncol Suppl. 1991;2:36-41
- Acta Chir Belg. 1994 Jul-Aug;94(4):191-7
Source: PubMed