Management of peritoneal carcinomatosis from colorectal cancer.

Abstract

The management of peritoneal carcinomatosis from colorectal cancer is evolving. The introduction of new chemotherapeutic and biologic agents has certainly improved the outlook for many patients with metastatic colorectal cancer. Traditionally, patients with limited hepatic or pulmonary metastases were the only candidates for metastasectomy. However, patients with metastasis localized to the peritoneum have been shown to be candidates for metastasectomy with improved clinical outcomes. Cytoreductive surgery with the addition of hyperthermic intraperitoneal chemotherapy (HIPEC) in this cohort of patients offers the only chance for long-term survival. Complete cytoreduction in combination with HIPEC for peritoneal surface disease has been demonstrated to produce survival outcomes similar to liver resection for hepatic metastases. This review will examine recent evidence pertaining to the evolving surgical oncology paradigm for management of colorectal peritoneal carcinomatosis.

• Authors: Chukwuemeka U Ihemelandu, Perry Shen, John H Stewart, Konstantinos Votanopoulos, Edward A Levine
• Journal: Seminars in oncology (Semin Oncol) Vol. 38 Issue 4 Pg. 568-75 (Aug 2011) ISSN: 1532-8708 [Electronic] United States
• PMID: 21810516 (Publication Type: Journal Article, Review)
• Copyright: Copyright © 2011 Elsevier Inc. All rights reserved.

Topics

• Carcinoma (diagnosis, secondary, therapy)
• Colorectal Neoplasms (diagnosis, pathology, therapy)
• Digestive System Surgical Procedures (methods, statistics & numerical data)
• Humans
• Medical Oncology (methods, trends)
• Morbidity
• Peritoneal Neoplasms (diagnosis, secondary, therapy)
• Postoperative Complications (epidemiology)
• Treatment Outcome