Dr. Marc Denver Yray Surgical Oncology Clinic

Dr. Marc Denver Yray Surgical Oncology Clinic This online clinic is dedicated to the comprehensive care of a cancer patient.

Port-site metastasis is real. 66F who underwent Diagnostic Laparotomy for a solitary omental recurrence of an Endometri...
29/12/2020

Port-site metastasis is real. 66F who underwent Diagnostic Laparotomy for a solitary omental recurrence of an Endometrial carcinoma. Referred for HIPEC after 2 months. Intraoperative findings revealed port-site metastases from all the working and camera ports. Tumors not previously seen were also found at the cul-de-sac, diaphragm and the small and large intestine. Operation done: En-bloc Antrectomy, Splenectomy, Total Colectomy, Partial Proctectomy, Wedge Resection of Liver Segments 3&4, Total Peritoniectomy.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4906650/

18/12/2020

Cytoreductive Surgery involves the removal of all macroscopic lesions including old abdominal incisions, umbilicus, epigastric fat pad, greater omentum, spleen, Glisson's capsule of the liver, Uterus, ovaries, gallbladder, lesser omentum and the parietal peritoneum. This 6-10 hour procedure is followed by bathing the abdominal cavity with heated chemotherapy for 30-90 minutes depending on the agent used. Considered as the gold standard for the treatment of Pseudomyxoma Peritonei, various applications of this procedure are for ovarian cancer and some cases of colorectal cancer.

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