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Related Experiment Video

Updated: May 1, 2026

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Contamination risk for operators performing semi-closed HIPEC procedure using cisplatin.

A Caneparo1, P Massucco1, M Vaira1

  • 1Division of Surgical Oncology, Candiolo Cancer Institute - FPO, IRCCS, Strada Provinciale 142, Km. 3.95, 10060 Candiolo, Torino, Italy.

European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
|April 15, 2014
PubMed
Summary

This study assessed operator safety during semi-closed hyperthermic intraperitoneal chemotherapy (HIPEC) using cisplatin. Results show the procedure is safe, with no drug absorption detected in personnel.

Keywords:
CisplatinPeritoneal neoplasmsSafetySurgical procedure

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Area of Science:

  • Oncology
  • Surgical Safety
  • Pharmacology

Background:

  • Peritoneal carcinomatosis requires advanced treatment strategies.
  • Hyperthermic intraperitoneal chemotherapy (HIPEC) is a key treatment modality.
  • Operator safety during chemotherapy procedures is paramount.

Purpose of the Study:

  • To evaluate operator safety during semi-closed HIPEC procedures.
  • To assess potential exposure to cisplatin in healthcare personnel.
  • To determine the efficacy of protective measures like double gloving.

Main Methods:

  • Environmental air, urine, glove, and skin samples were collected from surgical teams.
  • Cisplatin contamination was measured using sensitive analytical techniques.
  • Samples were analyzed from operating surgeons, anesthesiologists, and nurses over two days.

Main Results:

  • Cisplatin was not detected in environmental air or personnel urine samples.
  • Contamination was found on the inner surface of outer gloves and outer surface of inner gloves.
  • No platinum presence was detected on operators' skin.

Conclusions:

  • Double gloving effectively protects surgical staff from cisplatin exposure.
  • The semi-closed HIPEC technique is a safe procedure for operators.
  • No evidence of direct contact or systemic absorption of chemotherapy drugs was observed.