Hyperthermic Intraperitoneal Chemotherapy and Cytoreductive Surgery in the Management of Peritoneal Carcinomatosis

Rahul Rajeev, MBBS; Kiran K. Turaga, MD

Disclosures

Cancer Control. 2016;23(1):36-46. 

In This Article

Laparoscopy

Minimal-access cytoreductive surgery/HIPEC has been studied in patients with low tumor burden and with disease of less malignant potential.[56,57] Diagnostic laparoscopy is performed prior to surgery and patients with a PCI score lower than 10 are enrolled into a laparoscopic strategy.[56,57] With strict patient selection, laparoscopic cytoreductive surgery/HIPEC is a procedure associated with minimal morbidity and mortality and shorter operating times while achieving similar operative and oncological outcomes to the open procedure.[56,58] Concerns regarding the ability to complete a thorough examination of the peritoneal cavity have precluded the widespread application of this technique until further evidence is gathered.[42]

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