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

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Citation: International Journal of Surgery Case Reports. 86:106369, 2021 Sep.PMID: 34507196Institution: Washington Cancer InstituteForm of publication: Journal ArticleMedline article type(s): Journal ArticleYear: 2021 ISSN:

2210-2612

Name of journal: International journal of surgery case reportsAbstract: 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. Copyright © 2021 The Author. Published by Elsevier Ltd.. All rights reserved.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.All authors: Sugarbaker PHFiscal year: FY2022 Digital Object Identifier:

https://dx.doi.org/10.1016/j.ijscr.2021.106369

Date added to catalog: 2022-12-13

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Title notes ( 5 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	34507196	Available		34507196

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. Copyright © 2021 The Author. Published by Elsevier Ltd.. All rights reserved.

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.

English