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Extent of Surgery Score (ESS) of Miner et al for a Patient with Pseudomyxoma Peritonei (PMP)

Purpose: To evaluate a patient with pseudomyxoma peritonei (PMP ) the Extent of Surgery Score (ESS) of Miner et al.

Description

Miner et al used the Extent of Surgery Socre (ESS) to evaluate a patient undergoing surgery for pseudomyxoma peritonei. This based on a score of Portilla and Sugarbaker for cytoreduction of disseminated carcinomatosis. The authors are from Memorial Sloan-Kettering Cancer Center in New York City.


Intra-Abdominal Region

Designation

central region

0

right upper region

1

middle upper region

2

left upper region

3

right middle region

4

left middle region

5

right lower region

6

middle lower region

7

left lower region

8

upper jejunum

9

lower jejunum

10

upper ileum

11

lower ileum

12

 

Parameters:

(1) procedure (biopsy vs laparotomy with cytoreduction)

(2) number of regions cytoreduced

 

Procedure

Regions Cytoreduced

Extent of Surgery Score

biopsy only

none

0

cytoreduction

1 or 2

1

cytoreduction and resection

2 to 5

2

cytoreduction and resection

6 to 12 (extensive)

3

 


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Specialty

Objective

ICD-10