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Isolated limb perfusion: a literature review
Jennifer Schaadt1, Richard Crowley, Danielle Miller
1VA Hospital West Roxbury, Massachusetts, USA. jschaadt@stm.com
The Journal of Extra-Corporeal Technology
|July 26, 2002
Summary
Isolated limb perfusion (ILP) is a key treatment for limb-confined melanoma. This review educates perfusionists on ILP techniques and melanoma, crucial as melanoma incidence rises.
Area of Science:
- Oncology
- Surgical Technology
- Medical Education
Background:
- Cancer rates are declining in the US, but melanoma incidence is rising.
- Isolated limb perfusion (ILP) is a standard treatment for limb-confined malignant melanoma.
- Experience with ILP indications and techniques is limited among perfusionists.
Purpose of the Study:
- To educate perfusionists on isolated limb perfusion (ILP) and malignant melanoma.
- To provide a comprehensive review of ILP for recurrent malignant melanoma.
- To detail the procedural aspects and technical considerations of ILP.
Main Methods:
- Review of the history of isolated limb perfusion.
- Discussion of melanoma diagnosis, classification, and ILP applicability.
- Detailed procedural overview and technical considerations from a perfusionist's perspective.
Main Results:
- ILP is an established extracorporeal procedure for specific melanoma cases.
- Understanding ILP's role is critical due to increasing melanoma rates.
- The review covers patient selection, outcomes, and future applications of ILP.
Conclusions:
- ILP is a vital therapy for limb-confined melanoma, requiring specialized knowledge.
- Increased melanoma incidence necessitates broader perfusionist expertise in ILP.
- Future applications of hyperthermic regional chemotherapy via extracorporeal technology are explored.

