Abstract | BACKGROUND: METHODS: Between January 2011 and November 2012, all patients with low-grade pseudomyxoma peritonei (PMP) or multicystic mesothelioma (MM) and limited peritoneal disease (Peritoneal Cancer Index [PCI] less than 10) underwent CRS and HIPEC by a laparoscopic approach. The study cohort was matched with a historical cohort of patients with the same characteristics (completeness of cytoreduction, HIPEC agent, PCI ± 11 and age ± 20 years) treated with CRS and HIPEC by laparotomy. RESULTS: Eight patients (five low-grade PMP and three MM) treated by a laparoscopic approach were compared to eight patients treated by laparotomy. All patients underwent complete cytoreductive surgery with HIPEC, and no conversion to laparotomy was needed. The median surgical length was 210 min (150-300) vs 240 (210-360), with a median hospital stay of 12 days (9-18) vs 19 (13-33). One patient had a postoperative complication (intraperitoneal haematoma treated by radiological drainage) vs four in the laparotomy group. CONCLUSION:
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Authors | G Passot, N Bakrin, S Isaac, E Decullier, F N Gilly, O Glehen, E Cotte |
Journal | European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
(Eur J Surg Oncol)
Vol. 40
Issue 8
Pg. 957-62
(Aug 2014)
ISSN: 1532-2157 [Electronic] England |
PMID | 24209429
(Publication Type: Comparative Study, Journal Article)
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Copyright | Copyright © 2013 Elsevier Ltd. All rights reserved. |
Topics |
- Adult
- Aged
- Antineoplastic Combined Chemotherapy Protocols
(administration & dosage)
- Case-Control Studies
- Chemotherapy, Adjuvant
- Chemotherapy, Cancer, Regional Perfusion
(methods)
- Feasibility Studies
- Female
- France
- Humans
- Hyperthermia, Induced
- Laparoscopy
(adverse effects)
- Laparotomy
- Length of Stay
(statistics & numerical data)
- Male
- Middle Aged
- Patient Safety
- Peritoneal Cavity
- Peritoneal Neoplasms
(drug therapy, surgery, therapy)
- Postoperative Complications
(etiology, prevention & control)
- Postoperative Period
- Pseudomyxoma Peritonei
(drug therapy, surgery, therapy)
- Retrospective Studies
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