Peritoneal Tumor Debulking
Fig.1 Midline incision from level of suprapubic bone to above the umbilicus.
Fig.2 Small bowel run to assess tumor involvement.
Fig.2a Heavy tumor involvement in the appendix was noted and an appendectomy performed.
Fig.3 Nodules along the smaller mesentery dissected off with Bovie cautery dissection and Argon beam coagulator.
Fig.4 Round ligaments transected, ureters identified. IP ligaments ligated, and uterine vessels skeletonized.
Fig.5 Uterine vessels, cardinal and uterosacral ligaments ligated. Uterus, cervix, and bilateral adnexa amputated.
Fig.6 Tumor plaque in posterior cul-de-sac peeled off using blunt dissection and Argon beam coagulator.
Fig.7 Argon beam coagulation performed on tumor nodules located on the surface of the liver and diaphragm.
No gross disease >1 cm remained at the end of the procedure.
No gross disease >1 cm remained at the end of the procedure.
Final Layout of Figures
