Pressurized intraperitoneal aerosol chemotheprapy after misdiagnosed gastric cancer: Case report and review of the literature

Figure 3 Schematic presentation of the pressurized intraperitoneal aerosol chemotherapy procedure. The procedure is performed under general anesthesia and based on standard diagnostic laparoscopy procedures. Two small incisions are always made to obtain surgical access using two double-balloon secured trocars (D-B^* - double-balloon secured trocars). The first one is used for the laparoscopic camera and is connected to a closed aerosol waste system (CAWS^*). The second one connected to the CO₂ insufflator is for the micropump nebulizer used for delivering chemotherapy under pressure via a high-pressure line.