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    Laparoscopic cytoreductive surgery and hyperthermic intraperitoneal chemotherapy for limited peritoneal metastasis. The PSOGI international collaborative registry

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    Authors
    Arjona-Sanchez, A.
    Aziz, Omer
    Passot, G.
    Salti, G.
    Esquivel, J.
    Van der Speeten, K.
    Piso, P.
    Nedeclut, S.
    Sommariva, A.
    Yonemura, Y.
    Turaga, K.
    Selvasekar, Chelliah
    Rodriguez-Ortiz, L.
    Sanchez-Hidalgo, J. M.
    Casado-Adam, A.
    Rufian-Peña, S.
    Briceño, J.
    Glehen, O.
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    Affiliation
    Unit of Surgical Oncology, University Hospital Reina Sofia, Cordoba and GE09, Group of Research in Peritoneal and Retroperitoneal Oncologic Surgery. Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Spain.
    Issue Date
    2020
    
    Metadata
    Show full item record
    Abstract
    Introduction: A laparoscopic approach for cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (L-CRS+HIPEC) in highly selected patients has been reported in small cohorts with a demonstrable reduction in length of stay and post-operative morbidity. This study aims to analyse individual patient data from these international centres collected through the Peritoneal Surface Oncology Group International (PSOGI) L-CRS+HIPEC registry. Methods: An international registry was designed through a networking database (REDCAP®). All centres performing L-CRS+HIPEC were invited through PSOGI to submit data on their cases. Patient's characteristics, postoperative outcomes and survival were analysed. Results: Ten international centres contributed a total of 143 L-CRS+HIPEC patients during the study period. The most frequent indication was low grade pseudomyxoma peritonei in 79/143 (55%). Other indications were benign multicyst mesothelioma in 21/143(14%) and peritoneal metastasis from colon carcinoma in 18/143 (12,5%) and ovarian carcinoma in 13/143 (9%). The median PCI was 3 (2-5). The median length of stay was 6 (5-10) days, with 30-day major morbidity rate of 8.3% and 30-day mortality rate of 0.7%. At a median follow-up of 37 (16-64) months 126/143 patients (88.2%) were free of disease. Conclusions: Analysis of these data demonstrates that L-CRS+HIPEC is a safe and feasible procedure in highly selected patients with limited peritoneal disease when performed at experienced centres. While short to midterm outcomes are encouraging in patients with less invasive histology, longer follow up is required before recommending it for patients with more aggressive cancers with peritoneal dissemination.
    Citation
    Arjona-Sanchez A, Aziz O, Passot G, Salti G, Esquivel J, Van der Speeten K, et al. Laparoscopic cytoreductive surgery and hyperthermic intraperitoneal chemotherapy for limited peritoneal metastasis. The PSOGI international collaborative registry. Eur J Surg Oncol. 2020.
    Journal
    European Journal of Surgical Oncology
    URI
    http://hdl.handle.net/10541/623627
    DOI
    10.1016/j.ejso.2020.11.140
    PubMed ID
    33298341
    Additional Links
    https://dx.doi.org/10.1016/j.ejso.2020.11.140
    Type
    Article
    Language
    en
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.ejso.2020.11.140
    Scopus Count
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