Second-look Surgery after Cytoreduction and Intraperitoneal Chemotherapy for Peritoneal Carcinomatosis from Colorectal Cancer: Analysis of Prognostic Features |
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Authors: | Alberto Gomez Portilla Paul H Sugarbaker David Chang |
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Institution: | (1) The Washington Cancer Institute, Washington Hospital Center, 110 Irving Street NW, Washington, DC 20010, USA, US;(2) Epistat, 700 Burnt Mill Avenue, Silver Spring, Maryland 20901, USA, US |
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Abstract: | p
= 0.04) and
the completeness of resection at the time of the second look
(
p
= 0.066). In addition, a limited extent of
peritoneal carcinomatosis distribution found at the time of the second
look predicted a favorable result. A new objective assessment of
peritoneal carcinomatosis, the peritoneal cancer index, was found to be
of help during patient selection (
p
= 0.066). We
concluded that second-look surgery with potential curative intent
should be considered in patients who had a complete initial
cytoreduction and those in whom total removal of the recurrence is
judged possible at the time of the second look. At the time of
abdominal exploration, a limited distribution and volume of peritoneal
carcinomatosis as defined by the peritoneal cancer index should be
considered. Palliative debulking procedures should be used to alleviate
symptoms in other patients.RID=" ID=" <E5>Correspondence to:</E5> P.H. Sugarbaker, M.D. |
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Keywords: | |
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