What the hell is this cytoreductive surgery anyway?

If you’re anything like me, you’re probably going to want to know what they’re going to do to you to remove the current spot of bother.

For me, that involves complete cyroreduction surgery (CS). So what exactly is it?

Complete CS (complete tumour removal) is a technique developed and popularised by Professor Paul Sugarbaker at the Washington Cancer Centre. Average operating time for what is called a major peritonectomy is ten hours. The operation comprises a number of different procedures, listed below:

  • Right hemicolectomy – removal of the right side of the colon
  • Greater omentectomy – removal of the great omentum
  • Splenectomy – removal of the spleen
  • Chloecystectomy – removal of the gallbladder
  • Lesser omentectomy – removal of the less omentum
  • Pelvic peritonectomy, which sometimes includes the rectum by anterior resection and in women, includes the removal of the ovaries and uterus
  • Stripping of the peritoneum from the left hemidiaphragm
  • Stripping of the peritoneum from the right hemidiaphragm
  • Stripping of disease from the surface of the liver

Following this chemotherapy is given directly into the peritoneal cavity at the time of the operation.

That’s it really… simples!

A non-medical pictographic diagram of the essential and non-essential organs involved in the surgery.

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11 Comments

  1. Amanda

    Good luck Simon (aka Chemo Ken) and Ali – wishing you a very speedy recovery. Xx

  2. Tracey H

    Will be thinking of you both through your journey and look forward to seeing you back in Plymouth soon xx onwards and upwards Simon xxx

  3. Lorraine

    I have every confidence in Prof Sugarbaker coz I LOVE his name – he will he good. A great diagram which I shall copy for future reference – GO SIMON

  4. Clare

    Simon, I’m so sorry you’re back here again, I really didn’t know. All the very best, onwards and upwards, as they say. I hope and am sure everything will go well for you. I’ve read your blog with interest and I love your sense of humour – don’t lose it! Take care and Jim and I are looking forward to our next evening all out together. 😉 Best wishes and speedy recovery. Xx

  5. Baldy

    I didn’t realise that we had so many non-essential giblets!
    You and your family have my very best wishes. Stay strong and positive and remember that there are an awful lot of people out there rooting for you. Fond regards, Chris F

  6. Paul W

    Shit the bed! Not literally of course but I suppose it is a possibility. One thing is for sure, you’re gonna be a whole lot lighter without that lot. Seriously though mate, good luck, you are the bollox. (They’re staying right?)

    • Simon

      Thanks Paul.. currently no plans for a ‘bollockectomy’ at this stage but you never know in this game 😱

  7. Clare

    Loving the blog (maybe for all the wrong reasons – nice bum Simon! LOL). Thinking of you both today especially, hoping it all goes well for you. Xx

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