Peritoneal cystic mesothelioma treated with minimally invasive approach

Our plain-English summary of Peritoneal cystic mesothelioma treated with minimally invasive approach, by G. Navarra, S. Occhionorelli, M. Santini, et al (Surgical Endoscopy, 1996).

The study

• Authors: G. Navarra, S. Occhionorelli, M. Santini, P. Carcoforo, A. Sortini, I. Donini
• Journal: Surgical Endoscopy
• Published: 1996;10(1):60-1
• Type of article: Case report, Review
• Cited by: 5 articles, as counted by NIH iCite
• Read it: PubMed · Publisher

Abstract

A case of peritoneal cystic mesothelioma in a young woman was treated with a minimally invasive approach. The technique and a review of the literature are presented.

In plain English

This article was a case report from the University of Ferrara, Italy, about one 37-year-old woman with peritoneal cystic mesothelioma, a cystic lesion of the abdominal lining. A CT scan had suggested a 6-cm growth in the retroperitoneum (behind the abdominal cavity). Surgeons removed it by laparoscopy (keyhole surgery through three small skin incisions). During the operation they found the cyst at the root of the mesentery, the tissue that holds the bowel, not in the retroperitoneum. The operation took about 40 minutes, there were no complications, and she was discharged on the second day after surgery. An ultrasound at six months showed no recurrence. The article also reviewed earlier published reports on this rare condition. The authors named possible drawbacks of the keyhole approach (higher cost, and spreading of cells if the cyst ruptured or during removal) and reported that careful handling and a plastic retrieval bag avoided problems. The authors concluded that removing benign cystic mesothelioma of the peritoneum by a minimally invasive approach is safely feasible. The article did not mention asbestos.

We wrote this plain-English summary from the full article with the help of AI, and a second AI model checked each sentence against the article. It is not the authors' wording; the abstract and the article are their own account.

What the study did and found

• Design: Case report of one patient, with a short review of the literature
• Who was studied: One 37-year-old woman treated at the University of Ferrara, Italy. The date of treatment is not given.
• Main results:
  • At laparoscopy the lesion was found at the root of the mesentery, not in the retroperitoneum as the CT scan had indicated.
  • In this patient the operation took about 40 minutes.
  • This patient had no complications after surgery and was discharged on the 2nd postoperative day.
  • At 6-month follow-up, an abdominal ultrasound showed no recurrence in this patient.
• The authors' conclusion: The authors concluded that excision of benign cystic mesothelioma of the peritoneum is safely feasible through a minimally invasive approach.
• Limitations the authors state:
  • The authors stated that in this case the only disadvantages of the laparoscopic approach were the risk of higher operative cost and the possibility of seeding cells during the operation if the cyst ruptured or during specimen retrieval. They said careful manipulation and removal in a plastic bag avoided any problem.

Topics

Medical terms in this study, explained in our Lexicon: Mesothelioma.

Related studies

• Peritoneal cystic mesothelioma: are surgery and HIPEC optimal first-line treatments? — F. Coccolini, R. Manfredi, et al. (2012)
• Laparoscopic excision of a benign peritoneal cystic mesothelioma — A. Limone, J. Maier, et al. (2010)
• A recurrence of benign multicystic peritoneal mesothelioma treated through laparoscopic excision: a case report and review of the literature — T.D. Witek, J.W. Marchese, et al. (2014)
• Cytoreductive Surgery and Intraperitoneal Hyperthermic Chemotherapy (HIPEC) by Minimally Invasive Approach, an Initial Experience — A. Arjona-Sanchez, S. Rufian-Peña, et al. (2018)
• Pediatric Benign Cystic Peritoneal Mesothelioma — J. Durell, H. Dagash, et al. (2016)
• Benign multicystic peritoneal mesothelioma: a rare cause of intra-abdominal cystic disease — B. Campbell, D. Mehanna, et al. (2017)

Browse return to medical research.