The official line is that " We opened the abdomen through a long midline incision and had to spend several hours untangling dense small bowel adhesions. We eventually mobilised the bowel completely including the stomach, duodenum, the small bowel and the colon. There were two area's of tumour recurance,one just below the pylorus and the second one just below the third part of the duodenum. We removed these two areas. There were a few serosal tears.
Having completed the macroscopic tumour removal we perfused the abdomen with Mytomycin C heated to 42 degrees for one hour"