How to perform complete resection of peritoneal carcinomatosis nodules infiltrating the diaphragm without opening the pleural cavity in patients with advanced-stage ovarian cancers

Patients with advanced-stage ovarian cancer frequently present with peritoneal carcinomatosis, and a diaphragmatic involvement is observed in about 40% of cases. The goal of treatment includes complete surgical cytoreduction associated with systemic chemotherapy. Complete diaphragmatic cytoreduction...

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Veröffentlicht in:Journal of gynecology obstetrics and human reproduction 2022-09, Vol.51 (7), p.102430-102430, Article 102430
Hauptverfasser: Huber, Daniela, Christodoulou, Michel, Fournier, Ian, Seidler, Stéphanie, Besse, Valérie, Hurni, Yannick
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container_title Journal of gynecology obstetrics and human reproduction
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creator Huber, Daniela
Christodoulou, Michel
Fournier, Ian
Seidler, Stéphanie
Besse, Valérie
Hurni, Yannick
description Patients with advanced-stage ovarian cancer frequently present with peritoneal carcinomatosis, and a diaphragmatic involvement is observed in about 40% of cases. The goal of treatment includes complete surgical cytoreduction associated with systemic chemotherapy. Complete diaphragmatic cytoreduction is a crucial step and plays a major role in the overall survival of these patients. Deep infiltrating peritoneal carcinomatosis nodules are treated with diaphragmatic full-thickness resections, but these procedures involve opening the pleural cavity and are associated with a high rate of postoperative complications, such as pleural effusion and pneumothorax. A chest drain is often required, causing significant discomfort for the patients and potentially being an additional source of complications. In this study, we present a novel surgical technique to perform diaphragmatic resections using a linear stapler without opening the pleural cavity or needing a chest drain.
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subjects Cytoreductive surgery
diaphragmatic endometriosis
Diaphragmatic resection
Ovarian cancer
Peritoneal carcinomatosis
Surgical stapler
title How to perform complete resection of peritoneal carcinomatosis nodules infiltrating the diaphragm without opening the pleural cavity in patients with advanced-stage ovarian cancers
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