Abstract | BACKGROUND: METHODS: We performed an institutional retrospective review of 145 patients who underwent CRS- HIPEC between 2013 and 2020. Patients were divided into 2 groups: those who underwent an electively scheduled DLS prior to CRS- HIPEC and those who did not. Intraoperative and postoperative complications associated with DLS were determined from the surgeon's operative report. Time from diagnosis of PC to CRS- HIPEC was compared between the 2 groups. RESULTS: Of the 145 patients available for analysis, 47% (68) underwent DLS and 44% (64) did not. Of all the diagnostic laparoscopies performed, there was 1 (1.5%) intraoperative complication. The duration between diagnosis of peritoneal carcinomatosis and surgery was 4.9 months among patients who underwent DLS prior to CRS- HIPEC and 4.3 months among patients who did not (P = .79). CONCLUSION: In this retrospective analysis, diagnostic laparoscopy prior to CRS- HIPEC demonstrated a comparable rate of DLS-associated complications compared to other gastrointestinal malignancies and does not prolong time from diagnosis to CRS- HIPEC. Thus, in patients undergoing evaluation for CRS- HIPEC, diagnostic laparoscopy provides significant value in patient selection without incurring perioperative risk or delay in CRS- HIPEC.
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Authors | David N Hanna, Muhammad O Ghani, Andrew Hermina, Alexander Mina, Christina E Bailey, Kamran Idrees, Deepa Magge |
Journal | The American surgeon
(Am Surg)
Vol. 88
Issue 4
Pg. 698-703
(Apr 2022)
ISSN: 1555-9823 [Electronic] United States |
PMID | 34732056
(Publication Type: Journal Article)
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Topics |
- Antineoplastic Combined Chemotherapy Protocols
(therapeutic use)
- Chemotherapy, Cancer, Regional Perfusion
(methods)
- Colorectal Neoplasms
(pathology)
- Combined Modality Therapy
- Cytoreduction Surgical Procedures
- Humans
- Hyperthermia, Induced
(methods)
- Hyperthermic Intraperitoneal Chemotherapy
- Laparoscopy
(methods)
- Peritoneal Neoplasms
(diagnosis, therapy)
- Retrospective Studies
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