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Single Center Experience With Hyperthermic Intraperitoneal Chemotherapy
Woo Ram Kim1, Hyuk Hur2, Byung Soh Min2
1Department of Surgery, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
Annals of Coloproctology
|March 15, 2017
Summary
Cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) are debated cancer treatments. Early experience shows high complication rates, necessitating cautious application in selected patients.
Area of Science:
- Surgical Oncology
- Gastroenterology
- Cancer Metastasis
Background:
- Cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) are proposed for peritoneal metastasis.
- Their safety and efficacy, particularly for colorectal cancers, remain under investigation.
Purpose of the Study:
- To present early experiences with CRS and HIPEC procedures.
- To analyze short-term outcomes and identify risk factors for postoperative complications.
Main Methods:
- Retrospective data collection from patients with peritoneal carcinomatosis (PC) and pseudomyxoma peritonei (PMP).
- Patients underwent CRS and HIPEC between July 2014 and July 2015.
- Analysis of short-term outcomes and risk factors for complications.
Main Results:
- 23 patients (18 PC, 5 PMP) underwent CRS and HIPEC.
- 78.3% achieved CC0-1 status.
- Grade-III complications occurred in 30.4% of patients; no 30-day mortality.
- Factors for complications included organ resection number, operation time, and blood loss.
Conclusions:
- Initial CRS and HIPEC experience showed approximately 30% grade-III postoperative complications.
- These procedures require careful execution by expert surgeons in carefully selected patients.
Keywords:
Colorectal neoplasmsCytoreduction Surgical ProceduresPeritoneal metastasisPseudomyxoma peritoneiMore Related Videos
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