multivisceral resection
Pronunciation: mul-ti-VIS-er-al
Surgical procedure involving removal of the primary tumor along with multiple adjacent organs or structures.
Full Definition
Multivisceral resection encompasses surgical procedures where the primary tumor and multiple contiguous organs or anatomical structures are removed en bloc to achieve complete tumor extirpation. This approach is typically employed for locally advanced tumors that have invaded or are adherent to adjacent structures, or when anatomical relationships make separate resection technically impossible or oncologically compromised. Common scenarios include pancreaticoduodenectomy with vascular reconstruction, pelvic exenteration, or hepatectomy with diaphragm resection. These complex procedures require extensive preoperative planning, multidisciplinary expertise, and careful patient selection due to increased perioperative morbidity and mortality. The goal is to achieve negative margins while minimizing functional impairment through appropriate reconstruction techniques.
Usage
Usage note: Specify all organs/structures included in the resection for accurate documentation.
In Context
- "The patient underwent multivisceral resection including distal pancreatectomy with splenectomy and left colectomy for locally advanced pancreatic adenocarcinoma." — Operative report
- "Preoperative imaging suggested that multivisceral resection would be required to achieve R0 margins." — Surgical consultation note