We reviewed the treatment of patients with EPS at our referral center regarding perioperative morbidity, mortality, and long-term outcome. Only patients who underwent PEEL were included. Preoperative general status was ascertained by APACHE-II score and body mass index. Postoperative morbidity was stratified into minor and major complications.
Between the years 2003 and 2010, 26 of 45 patients with late-stage EPS underwent PEEL. Median age was 54 years, APACHE-II score was 15, and body mass index was 21 kg/m2. To achieve intestinal function, 9 bowel resections with immediate anastomoses were necessary. Eleven patients (37 % ) received a complete parietal peritonectomy. Overall morbidity was 44 % , with minor complications in 2 patients (7 % ) and major complications in 11 patients (31 % ). Three patients (10 % ) died within the first year after operative treatment.
PEEL is a treatment option that can be performed with low mortality and acceptable morbidity. It is a precondition that these patients are treated in specialized referral centers.