Surgical responsibilities in the management of peritoneal carcinomatosis.
In the past, cancer surgery for gastrointestinal malignancy focused on clearance (an R-0 resection) and containment (no surgically induced spillage of cancer cells). A new responsibility that cancer surgeons must accept is the knowledgeable prevention or treatment of cancer that disseminates to peritoneal surfaces. Carcinomatosis can be prevented and can be successfully treated using cytoreductive surgery and perioperative chemotherapy.
Sugarbaker
Paul H
PH
The Washington Cancer Institute, Washington Hospital Center, Washington, District of Columbia 20010, USA. paul.sugarbaker@medstar.net
D001063:Appendiceal Neoplasms / Q000601:surgery; D002277:Carcinoma / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D002763:Cholecystectomy; D003131:Combined Modality Therapy; D006801:Humans; D010534:Peritoneal Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D010537:Peritoneum / Q000601:surgery; D013156:Splenectomy