ABSTRACT
Diaphragmatic metastasis requiring partial diaphragm resection may be necessary in up to 53% [20,21] of cytoreductive procedures. ese procedures oen involve complete mobilization of the liver with entry into the pleural cavity. Residual pneumothorax and/or pleural eusion occurs in up to 10% of cases, requiring a chest tube in approximately 5% of cases [22]. Other complications include pulmonary infections and pneumonia or empyema [23]. A thoracic surgeon, while not frequently required, should be an essential member of your multidisciplinary team.
