Open AccessPeritoneoectomy and the multiorgan resection in prevalent tumors of abdominal cavity and small pelvis
Author(s) -
Oleksandr Tkachenko,
О. V. Bondar,
С. Г. Четверіков,
V. E. Maksymovskyi,
Mykhailo Chetverikov,
Valeriia Chetverikova-Ovchynnyk
Publication year - 2021
Publication title -
klìnìčna hìrurgìâ/klìnìčna hìrurgìâ
Language(s) - English
Resource type - Journals
eISSN - 2522-1396
pISSN - 0023-2130
DOI - 10.26779/2522-1396.2021.3-4.58
Subject(s) - medicine , surgery , abdominal cavity , pelvis , diaphragm (acoustics) , resection , quality of life (healthcare) , pelvic cavity , physics , nursing , acoustics , loudspeaker
Objective. To estimate the results of peritoneoectomy and multiorgan resection in the treatment of prevalent tumors of abdominal cavity and small pelvis.
Materials and methods. The results of treatment of 246 patiemts with prevalent abdominal cavity tumors were studied. The patients were distributed into two groups: Group I – 209 patients, to whom complete and optimal cytoreduction was performed, and Group II – 37 patients, to whom suboptimal cytoreduction was done. Intraoperative characteristics, the term of stationary stay, postoperative morbidity, lethality, timeliness of intestinal function restoration and the patients’ quality of life were estimated.
Results. The cytoreduction volume increase enhances the postoperative morbidity rate, connected predominantly with multiple resection of intestine and surgery of diaphragm. In patients of Group I degradation of the quality of life indices was noted through 1 mo postoperatively.
Conclusion. Using multiorgan resection and peritoneoectomy it is possible to achieve complete and optimal volume of cytoreduction. Application of multidisciplinary approach, new operative procedures, modern surgical instruments and energies permit to reduce the postoperative morbidity rate.