Pseudomyxoma: can surgery be performed via laparoscopy (video surgery)?

Pseudomyxoma peritonei is a rare and complex condition that requires careful selection of the treatment method to ensure the best possible chance of cure. In this context, the laparoscopic approach (via video) has emerged as a promising technique that can be employed in very specific situations.

The laparoscopic approach as a treatment option

Although appealing as an option, it is important for patients to know that this technique is applicable in only a minority of cases, about 5% of them. It can be applied in patients whose pseudomyxoma is low-grade (low aggressiveness) and has a low Peritoneal Carcinomatosis Index (PCI). The PCI is a measure that assesses the extent of cancer spread in the peritoneum. The lower the PCI, the greater the chance of complete cytoreduction, meaning the total surgical removal of the tumor.

Advantages and considerations of laparoscopy

The laparoscopic procedure stands out for its advantages, including greater comfort in the postoperative period, faster recovery, and a lower risk of complications compared to open surgery. However, the technique requires a team with advanced laparoscopic skills and familiarity with this rare disease. In very exceptional and selected cases, the laparoscopic approach may then be combined with HIPEC.

Advantages of laparotomy in complex cases

Again, it is important to emphasize that the laparoscopic approach with HIPEC is restricted to a small subset of patients. For more advanced cases of pseudomyxoma, with high PCI and high-grade tumors, open surgery, or laparotomy, remains the international standard of treatment.

Laparotomy allows for comprehensive exploration of the abdominal cavity, facilitating the complete removal of tumors. Although it is a more invasive operation, open surgery offers a better chance of effective disease control in more complex cases.

Decision between laparoscopy and open surgery

The decision between the laparoscopic approach and open surgery depends on a careful analysis of the patient’s clinical picture, considering tumor characteristics, disease extent, and the experience of the medical team.

If you or someone you know has been diagnosed with pseudomyxoma peritonei or has questions about treatment options, please do not hesitate to contact us. Our specialized medical team is ready to provide guidance and detailed information to ensure the best approach for your case.