Total Laparoscopic Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy for Mucinous Adenocarcinoma of the Appendix

Abstract

Abstract Open cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) has emerged as the procedure of choice for mucinous adenocarcinoma of the appendix (MAA); however, it is associated with substantial morbidity. We present a case of a total laparoscopic R0-CRS-HIPEC for MAA. CRS included right hemicolectomy, omentectomy, cholecystectomy, bilateral salpingo-oophorectomy, excision of the round and falciform ligaments, and stripping of the peritoneum of the right diaphragm, followed by HIPEC through single inflow and outflow catheters. The operative time was 380 minutes, and the estimated blood loss was 100 mL. There was no postoperative morbidity. The patient was discharged on postoperative day 8. Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS-HIPEC) has emerged as the procedure of choice for selected patients with MAA.1 Usually performed through a large midline incision, CRS-HIPEC is associated with a substantial rate of morbidity and mortality.2–3 The ...