Patients undergoing cytoreductive surgery for peritoneal malignancy of appendiceal origin should be consented for umbilical excision as 30% have umbilical infiltration.
Shinichiro SakataTun G TanDanko KostadinovNima AhmadiSanjeev P DayalAlexios TzivanakisFaheez MohamedNorman J CarrTom D CecilBrendan J MoranPublished in: Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland (2021)
In patients with peritoneal malignancy of appendiceal origin, approximately 30% have umbilical involvement, irrespective of the primary appendiceal pathology. Umbilical involvement was not associated with prior surgery involving the umbilicus. This is the first report to document the incidence of umbilical pathology and supports consideration of routine umbilical excision in CRS for peritoneal malignancy.