Peritonectomy procedures

Ann Surg. 1995 Jan;221(1):29-42. doi: 10.1097/00000658-199501000-00004.


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.

MeSH terms

  • Humans
  • Methods
  • Peritoneal Neoplasms / surgery*
  • Peritoneum / surgery*