A differentiated approach to choosing the tactics of diaphragmatic peritonectomy in patients with peritoneal carcinomatosis

The article presents an analysis of the results of treatment of 77 patients of surgical treatment of 77 patients with disseminated forms of malignant tumors of the abdominal cavity and pelvic organs and the presence of peritoneal carcinomatosis operated at the Naval Surgery Clinic of the Kirov Military Medical Academy and at its clinical base at the l.l. Janelidze Research lnstitute of Emergency Medicine in the period from 2019 G. to 2021 All patients underwent cytoreductive surgical interventions, which included diaphragmatic peritonectomy of various volumes. The article presents an anatomical and surgical classification of secondary tumor lesions of the diaphragmatic peritoneum based on the topographic and anatomical characteristics of the localization of tumor nodes and the involvement of adjacent anatomical structures, the size of metastatic nodes, as well as the depth of tumor invasion. Based on the classification, the article also presents a differentiated approach to the choice of tactics for surgical treatment of patients with secondary tumor lesion of the diaphragmatic peritoneum in peritoneal carcinomatosis.