Peritoneoectomy and the multiorgan resection in prevalent tumors of abdominal cavity and small pelvis

Keywords: cytoreductive operative interventions; postoperative morbidity; quality of life.

Abstract

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.

Author Biographies

O. I. Тkachenko, Odesa National Medical University

Tkachenko Oleksandr I.– MD, DSci (Med), Professor,
Head of the Surgical Department No.
Odesa National Medical Univercity
2 Valikhovsky lane, 65082, Odesa, Ukraine
+380 50 336 6933
doctortkachenko@i.ua
https://orcid.org/0000–0001–7929–0220

O. V. Bondar, Odesa National Medical University

Bondar Oleksandr V. – MD, DSci (Med), Professor,
Head of the Department of Radiation Diagnostics, Therapy and Oncology
Odesa National Medical Univercity
2 Valikhovsky lane, 65082, Odesa, Ukraine
+38 066 065 86 89
ovbondar0708@gmail.com
https://orcid.org/0000–0001–8746–1878

S. G. Chetverikov, Odesa National Medical University

Chetverikov Sergii H.– MD, DSci (Med), Professor,
Surgical department No. 3
Odesa National Medical Univercity
2 Valikhovsky lane, 65082, Odesa, Ukraine
+38 050 336 4336
chetverikov@rambler.ru
[http://orcid.org/0000–0001–6280–8054]

V. E. Maksymovskyi, Odesa National Medical University

Maksymovskyi Viacheslav E.– md, PhD (Med),
Surgical department No. 3
Odesa National Medical Univercity
2 Valikhovsky lane, 65082, Odesa, Ukraine
+38 050 392 1484
maksidoc@gmail.com
http://orcid.org/0000–0001–5084–3290

M. S. Chetverikov, Odesa National Medical University

Chetverikov Mykhailo S. –
Surgical Department No 3
Odesa National Medical Univercity
2 Valikhovsky lane, 65082, Odesa, Ukraine
+38 050 492 0082
chetvericov@yahoo.com
http://orcid.org/0000–0001–7255–9733

V. V. Chetverikova–Ovchynnyk, Odesa National Medical University

Chetverikova–Ovchynnyk Valeriia V. –
Surgical Department No. 3
Odesa National Medical Univercity
2 Valikhovsky lane, 65082, Odesa, Ukraine
+38 063 194 4586
ovchinnik.val@yahoo.com
http://orcid.org/0000–0001–9025–9320

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Published
2021-07-28
How to Cite
ТkachenkoO. I., Bondar, O. V., Chetverikov, S. G., Maksymovskyi, V. E., Chetverikov, M. S., & Chetverikova–Ovchynnyk, V. V. (2021). Peritoneoectomy and the multiorgan resection in prevalent tumors of abdominal cavity and small pelvis. Klinicheskaia Khirurgiia, 88(3-4), 58-63. https://doi.org/10.26779/2522-1396.2021.3-4.58
Section
General Problems of Surgery