Study findings from J.P. Orezzoli et al broaden understanding of cancer
2009 AUG 3 - (NewsRx.com) -- "Recurrent ovarian cancer in the upper abdomen involving the liver parenchyma and diaphragmatic muscle traditionally requires a major abdominal surgical procedure; this involves pubis to xyphoid incision and complete mobilization of the liver. We present a strategy for evaluating 4 cases with apparently isolated recurrence to the diaphragm and liver approached by a sequential 2-phase procedure, involving diagnostic laparoscopy and Subsequent posterior lateral thoracotomy," scientists in the United States report. "Preliminary diagnostic laparoscopy was performed to distinguish candidates for either definitive laparoscopic treatment or posterior thoracotomy. Two patients with disease confined to the diaphragm were successfully treated by laparoscopy alone, whereas full-thickness diaphragmatic resection and liver metastasis excision with cavitational ultrasonic surgical aspirator was performed in the other 2 patients. Argon beam coagulation was used to control local hemostasis and to fulgurate any possible residual turner at the margin of resection," wrote J.P. Orezzoli and colleagues. The researchers concluded: "This is a multidisciplinary approach that is technically feasible and safe, requiring a short hospital stay.." Orezzoli and colleagues published their study in International Journal of Gynecological Cancer (Surgical Management of the Subdiaphragmatic Mass A Sequential Combined Approach With Laparoscopy Followed by Posterior Thoracotomy. International Journal of Gynecological Cancer, 2009;19(2):294-299). For additional information, contact A.F. Fuller, Winchester Hospital, Cancer Care Center, 88 Montvale Avenue, 1, Stoneham, MA 02180, USA. The publisher's contact information for the International Journal of Gynecological Cancer is: Lippincott Williams & Wilkins, 530 Walnut St., Philadelphia, PA 19106-3621, USA. Keywords: United States, Diagnostics, Gastroenterology, Gynecology, Hepatology, Laparoscopy, Liver Metastasis, Oncology, Ovarian Cancer, Ovarian Carcinoma, Surgery, Thoracotomy, Women's Health. This article was prepared by Clinical Oncology Week editors from staff and other reports. Copyright 2009, Clinical Oncology Week via NewsRx.com.
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