A minimally invasive approach for peritonectomy procedures and hyperthermic intraperitoneal chemotherapy (HIPEC) in limited peritoneal carcinomatosis: The American Society of Peritoneal Surface Malignancies (ASPSM) multi-institution analysis

Surgical Endoscopy
A Arjona-SanchezK van der Speeten

Abstract

Minimally invasive surgery is playing an increasing role in the treatment of patients with gastrointestinal and gynaecological malignancies as the data show reduced morbidity, faster recovery and similar oncological outcome when compared to open procedures. The American Society of Peritoneal Surface Malignancies (ASPSM) conducted a retrospective study to analyse peritonectomy procedures and HIPEC done via the laparoscopic route. A database with standard clinical and pathological parameters was set up and distributed amongst ASPSM members. Rate of relapse, morbidity and mortality were the primary endpoints of the study. A total of 90 patients from 7 centres around the world were identified. Sixty percent were female. Mean age was 50 years. Peritoneal carcinomatosis from appendiceal origin was the most common diagnosis in a 64.9% of patients and colon origin was diagnosed in 16.5% of patients. Mean peritoneal cancer index (PCI) was 4.1 (0-10). Forty-one percent of patients had a bowel resection. Mean operative time was 4.7 h (2.5-8). All patients had a complete cytoreduction and HIPEC. Grade 3 and 4 morbidity was 3.0 and 6.5%, respectively. The most common reason for re-operation was an internal hernia in 2 out of 5 cases. Operat...Continue Reading

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Citations

Jul 4, 2020·Diseases of the Colon and Rectum·Isabelle BonnefoyGuillaume Passot
Aug 2, 2019·World Journal of Gastroenterology : WJG·Juan Manuel Sánchez-HidalgoJavier Briceño-Delgado
Jul 30, 2020·Techniques in Coloproctology·A Arjona-SánchezJ Briceño-Delgado
Apr 25, 2020·Surgical Endoscopy·L Rodríguez-OrtizJ Briceño-Delgado
Dec 11, 2020·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·A Arjona-SanchezO Glehen
Mar 11, 2020·Current Problems in Surgery·Adam C FieldsNelya Melnitchouk
Apr 10, 2021·Current Problems in Surgery·John H StewartKonstantinos I Votanopoulos
Jun 23, 2021·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·María Del Pilar Gutiérrez DelgadoJulio Santoyo Santoyo
Jan 10, 2022·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Marco TonelloPierluigi Pilati

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