What to expect before total peritonectomy?
During a peritonectomy, an involved procedure called cytoreductive surgery is performed, which aims to remove as much cancerous growth as possible from multiple sites in the abdomen. When the mesothelioma involves many areas of the abdominal cavity, the cytoreductive surgery may involve removing portions of various organs, including the stomach, intestines, liver, pancreas, and spleen, among others.
When performed as stand-alone procedures, peritonectomy can give patients relief from abdominal pain and loss of appetite. When used with chemotherapy, the surgery has the ability to kill cancer and extend life span. A heated chemotherapy regimen – administered into the abdominal cavity for direct contact with cancer cells – is most commonly delivered after the tumor cytoreduction is complete. This generally lasts 90 minutes, while the patient is still under general anesthesia. This combination has helped some patients to live seven years or longer after diagnosis.