Özet:

Peritoneal metastases from appendiceal and colorectal cancer continue to be a major threat to a favorable outcome with treatment. Reliable treatment strategies for the management of appendiceal and colorectal cancer start with the complete surgical removal of the disease. The surgical technology to accomplish this goal in patients with peritoneal metastases was reviewed. Electrosurgical dissection techniques and wide open exposure of the abdomen and pelvis were described. Five peritoneal stripping (peritonectomy) procedures were presented and integrated with visceral resections that may be required. Techniques to remove cancer nodules from small bowel and small bowel mesentery were itemized. Technology for complete resection of peritoneal metastases from patients with appendiceal and colorectal cancer was described and it can improve treatment outcomes for these patients.

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