Surgical treatment of giant primary liposarcoma of omentum with advanced peritoneal sarcomatosis dissemination
DOI:
https://doi.org/10.11603/2414-4533.2017.4.8257Keywords:
liposarcoma, citoreduction, peritonealcancerindex.Abstract
We present clinical case of a primary liposarcoma of the giant omentum with progressive peritoneal sarcomatosis РСІ = 22) which we treated surgically. After the examination and the decision on the possibility of removing the tumor, or cytoreduction, as well as the problems of the progressive intestinal obstruction, surgical intervention was carried out in the volume: removal of the primary tumor, total colectomy and peritonectomy in the volume of complete optimal cytoreduction (CC-0), with absence of visible peritoneal focuses, according to Completeness of cytoreduction Score (CC). The operation was completed by the formation of a illeorectal-rectal lateroterminal anastomosis with protective ileostomy by Thornbоll, which was closed after 6 months. Median follow-up was 21 months.
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