Abstract | BACKGROUND: METHODS: This is a retrospective review from 1 January 2008 to 1 June 2017 of all patients undergoing CRS and HIPEC for appendiceal neoplasms. Institutional ethics approval was granted for this project. RESULTS: One hundred and seventy-two patients underwent 208 CRSs during this time. Overall, 83.72% of patients had one CRS and HIPEC procedure. Pseudomyxoma peritonei from a perforated appendiceal mucinous neoplasm accounted for 67.9% of cases. The median peritoneal carcinomatosis index (PCI) was 14, with complete cytoreduction achieved in 74.2% of patients. Fifty-four percent of patients had at least one complication, with one (0.5%) peri-operative mortality in our cohort. For the entire cohort, the median overall survival was 104 months and a 5-year survival of 75%. In those having a complete cytoreduction, 5-year survival was 90%, with a median disease free interval of 63 months. PCI and completeness of cytoreduction were independent predictors of overall survival. CONCLUSION: Our results demonstrate that CRS and HIPEC for appendiceal neoplasms are safe and effective. Despite carrying some morbidity, it offers patients an excellent disease free and overall survival.
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Authors | Vignesh Narasimhan, Toan Pham, Satish Warrier, A Craig Lynch, Michael Michael, Jeanne Tie, Robert Ramsay, Alexander Heriot |
Journal | ANZ journal of surgery
(ANZ J Surg)
Vol. 89
Issue 9
Pg. 1035-1040
(09 2019)
ISSN: 1445-2197 [Electronic] Australia |
PMID | 30685879
(Publication Type: Journal Article, Review)
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Copyright | © 2019 Royal Australasian College of Surgeons. |
Chemical References |
- Antibiotics, Antineoplastic
- Mitomycin
|
Topics |
- Antibiotics, Antineoplastic
(administration & dosage, therapeutic use)
- Appendiceal Neoplasms
(complications, pathology, therapy)
- Australia
(epidemiology)
- Chemotherapy, Cancer, Regional Perfusion
(methods)
- Cytoreduction Surgical Procedures
(adverse effects, methods)
- Female
- Humans
- Hyperthermia, Induced
(methods)
- Laparotomy
(methods)
- Male
- Middle Aged
- Mitomycin
(administration & dosage, therapeutic use)
- Perioperative Period
(mortality)
- Peritoneal Neoplasms
(pathology)
- Prospective Studies
- Pseudomyxoma Peritonei
(surgery)
- Retrospective Studies
- Survival Analysis
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