Tanzania
Research Article
Resection of the Falciform Ligament and Ligamentum Teres Hepatis in Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy (HIPEC)
Author(s): Thejus Thayyil Jayakrishnan, Avishkar Sharma, Anthony J Zacharias, Paul M Knechtges, Sam George Pappas, Fabian M Johnston, T Clark Gamblin and Kiran K TuragaThejus Thayyil Jayakrishnan, Avishkar Sharma, Anthony J Zacharias, Paul M Knechtges, Sam George Pappas, Fabian M Johnston, T Clark Gamblin and Kiran K Turaga
Background: Routine resection of falciform ligament and ligamentum teres hepatis (FL-LTH) during cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS+HIPEC) has been advocated but may be associated with increased complications. We aimed to study the role of FL-LTH resection at the time of CRS+HIPEC.
Methods: Retrospective review of patients who underwent CRS+HIPEC from January, 2010 to April, 2013 was conducted. Non-parametric methods were used for analyses.
Results: CRS-HIPEC was performed in 71 patients (FL-LTH resection in 57, 80.2%). The sensitivity and specificity of visual examination were calculated as 97.4% and 75.0%, respectively. Visual examination falsely classified 1/33 cases as disease free (3.0% Fals.. Read More»
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