Laparoscopic mucin removal in patients with pseudomyxoma peritonei.
OBJECTIVE
Pseudomyxoma peritonei results from ovarian and appendiceal mucinous tumors. Cyst rupture results in intraabdominal mucin accumulation, leading to abdominal distension. No effective treatment has yet been established. Pseudomyxoma peritonei is generally associated with a poor prognosis. In a recent Mayo Clinic report, the 5-year survival rate for this disease was 53% and the 10-year survival rate was 32%, while the Memorial Sloan-Kettering Cancer Center reported 5- and 10-year survival rates of 75% and 10%.


RESULTS
In this report, we describe 4 patients with a laparoscopically confirmed recurrence of pseudomyxoma peritonei who subsequently underwent repeated laparoscopic mucin removal.


CONCLUSIONS
Because laparoscopic surgery can be performed frequently, it appears that laparoscopic surgery, a minimally invasive procedure, greatly improves the quality of life of patients with pseudomyxoma peritonei.
Kotani
Yasushi
Y
Department of Obstetrics and Gynecology, Kinki University School of Medicine, Osaka-sayama, Osaka, Japan. y-kotani@sanfu.med.kindai.ac.jp
Shiota
Mitsuru
M
Umemoto
Masahiko
M
Tobiume
Takako
T
Koike
Eiji
E
Shimaoka
Masao
M
Takahashi
Yohko
Y
Kanemura
Kazumi
K
Ishizu
Ayako
A
Hoshiai
Hiroshi
H
D000368:Aged; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D009077:Mucins / Q000378:metabolism*; D010534:Peritoneal Neoplasms / Q000000981:diagnostic imaging / Q000378:metabolism / Q000601:surgery*; D011553:Pseudomyxoma Peritonei / Q000000981:diagnostic imaging / Q000378:metabolism / Q000601:surgery*; D011788:Quality of Life; D012008:Recurrence; D014057:Tomography, X-Ray Computed
D009077:Mucins