Total Extraperitoneal Access for Parietal Peritonectomy for Peritoneal Surface Malignancy: The ‘Cocoon’ Technique
Ioannis Kyriazanos, Dimitrios Papageorgiou, Menelaos Zoulamoglou,Meletios Marougkas, Nikolaos Stamos, Nikolaos Ivros, Vasileios Kalles
Complete surgical cytoreduction is the most important prognostic factor of survival in patients with peritoneal metastases from various cancers, including ovarian cancer. In order to achieve the optimum result, surgeons use extensive procedures that involve peritonectomies and multivisceral resections. Cytoreductive surgery (CRS) aims to eliminate all macroscopic disease by achieving complete cytoreduction. This article describes a surgical approach designed to achieve total extraperitoneal access for parietal peritonectomy.