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Peritonectomy of the colonic mesentery. Case report of a new surgical technology

INTRODUCTION AND IMPORTANCE: Malignant peritoneal mesothelioma is a local-regional disease process that requires a comprehensive treatment plan including complete cytoreductive surgery and regional chemotherapy. CASE PRESENTATION: Treatments used in our patient began with a complete cytoreductive su...

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Detalles Bibliográficos
Autor principal: Sugarbaker, Paul H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8433245/
https://www.ncbi.nlm.nih.gov/pubmed/34507196
http://dx.doi.org/10.1016/j.ijscr.2021.106369
Descripción
Sumario:INTRODUCTION AND IMPORTANCE: Malignant peritoneal mesothelioma is a local-regional disease process that requires a comprehensive treatment plan including complete cytoreductive surgery and regional chemotherapy. CASE PRESENTATION: Treatments used in our patient began with a complete cytoreductive surgery. This required visceral resections, parietal peritonectomy, peritonectomy of the small bowel and its mesentery, and a peritoneal resection of the colonic mesentery with sparing of the major vasculature of the large bowel. CLINICAL DISCUSSION: Peritoneal resection of the colonic mesentery and other treatments were performed in the absence of major complications. A 20-day hospitalization was required. The patient shows no internal hernias and no evidence of disease by CT follow-up at 4 years postoperatively. Her quality of life is excellent. CONCLUSIONS: Malignant peritoneal mesothelioma was in the past a disease of limited survival without effective treatment options. Peritoneal resection of the colonic mesentery may be required for complete cytoreduction. A sequence of cytoreductive surgical procedures and regional chemotherapy treatments has made long-term survival possible.