Peritoneum patch repair in oncologic major resections – An autolog alternative

Catarina Aguiar,Jorge Paulino,Emanuel Vigia,Edite Filipe,Luis Bicho,Ana Marta Nobre

doi:10.15761/scrr.1000130

Abstract

Peritoneum patch repair in oncologic major resections – An autolog alternative

Highlights

At diagnosis only 10-20% of pancreatic cancer patients present with primarily resectable disease; 20% have locally advanced unresectable or borderline resectable tumors and 60% have metastatic disease [1].Some of resectable are borderline resectable at surgery [2]
The evaluation of tumor extension to major vessels involved in the tumor mass, such as the inferior vena cava, superior mesenteric vein or portal vein, may not be a criterion of non resectability and lead to excision of the tumor mass with vascular resection [4]
This reconstruction may imply the need for prosthetic material if the length of autologous vessels is not sufficient, which is not the most desirable option

Summary

Introduction

At diagnosis only 10-20% of pancreatic cancer patients present with primarily resectable disease; 20% have locally advanced unresectable or borderline resectable tumors and 60% have metastatic disease [1]. The evaluation of tumor extension to major vessels involved in the tumor mass, such as the inferior vena cava, superior mesenteric vein or portal vein, may not be a criterion of non resectability and lead to excision of the tumor mass with vascular resection [4]. This reconstruction may imply the need for prosthetic material if the length of autologous vessels is not sufficient, which is not the most desirable option. These are accessible, adjustable to the required size, free of charge and low risk of infection and thrombosis

Material and methods

Results

Conclusion