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The current practice of cytoreductive surgery and HIPEC for colorectal peritoneal metastases : Results of a worldwide web-based survey of the Peritoneal Surface Oncology Group International (PSOGI)

Bushati, M. (author)
Catharina Hosp, Dept Surg, POB 1350, NL-5602 ZA Eindhoven, Netherlands;Univ Padua, Surg Clin 1, Dept Surg Oncol & Gastroenterol, Padua, Italy
Rovers, K. P. (author)
Catharina Hosp, Dept Surg, POB 1350, NL-5602 ZA Eindhoven, Netherlands
Sommariva, A. (author)
Veneto Inst Oncol IOV IRCCS, Unit Surg Oncol Esophagus & Digest Tract, Castelfranco Veneto, TV, Italy
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Sugarbaker, P. H. (author)
MedStar Washington Hosp Ctr, Ctr Gastrointestinal Malignancies, 106 Irving St NW,Suite 3900, Washington, DC 20010 USA
Morris, D. L. (author)
St George Hosp, Dept Surg, Gray St Kogarah, Sydney, NSW 2217, Australia
Yonemura, Y. (author)
Kishiwada Tokushukai Hosp, Peritoneal Surface Malignancy Ctr, 4-27-1 Kamori Cho, Kishiwada, Osaka 5968522, Japan
Quadros, C. A. (author)
Sao Rafael Hosp, Surg Oncol Unit, Ave Sao Rafael 2152, BR-41253190 Salvador, BA, Brazil
Somashekhar, S. P. (author)
Manipal Hosp, Manipal Comprehens Canc Ctr, Dept Surg Oncol & Robot Surg, 98 HAL Airport Rd, Bengaluru 560017, Karnataka, India
Ceelen, W. (author)
Ghent Univ Hosp Belgium, Dept Gastrointestinal Surg, Ghent, Belgium
Dube, P. (author)
Univ Montreal, Hosp Maisonneuve Rosemont, Dept Surg, Montreal, PQ, Canada
Li, Y. (author)
Capital Med Univ, Beijing Shijitan Hosp, Dept Peritoneal Canc Surg, Beijing, Peoples R China
Verwaal, V. J. (author)
Aarhus Univ Hosp, Dept Surg, Norrebrogade 44, DK-8000 Aarhus, Denmark
Glehen, O. (author)
Hosp Civils Lyon, Dept Surg Oncol, Lyon, France;Lyon Sud Hosp, Lyon Fac Med, Lyon, France
Piso, P. (author)
Hosp Barmherzige Bruder, Dept Gen & Visceral Surg, Regensburg, Germany
Spiliotis, J. (author)
European Interbalkan Med Ctr, Thessaloniki, Greece
Teo, M. C. C. (author)
Natl Canc Ctr Singapore, Singapore, Singapore
Gonzalez-Moreno, S. (author)
Univ Texas MD Anderson Canc Ctr, Surg Oncol, Madrid, Spain
Cashin, Peter, 1984- (author)
Uppsala universitet,Gastrointestinalkirurgi
Lehmann, K. (author)
Univ Hosp Zurich, Dept Visceral & Transplantat Surg, Zurich, Switzerland
Deraco, M. (author)
Fdn IRCCS Ist Nazl Tumori, Peritoneal Surface Malignancies Unit, Milan, Italy
Moran, B. (author)
Hampshire Hosp Fdn Trust, Peritoneal Malignancy Inst Basingstoke, Adelmaston Rd, Basingstoke RG24 9NA, Hants, England
de Hingh, I. H. J. T. (author)
Catharina Hosp, Dept Surg, POB 1350, NL-5602 ZA Eindhoven, Netherlands
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 (creator_code:org_t)
ELSEVIER SCI LTD, 2018
2018
English.
In: European Journal of Surgical Oncology. - : ELSEVIER SCI LTD. - 0748-7983 .- 1532-2157. ; 44:12, s. 1942-1948
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Background: At present, selected patients with resectable colorectal peritoneal metastases (CRC-PM) are increasingly treated with a combination therapy of cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC). The aim of this study was to investigate the current worldwide practice.Methods: HIPEC experts from 19 countries were invited through the Peritoneal Surface Oncology Group International (PSOGI) to complete an online survey concerning their personal expertise and current hospital and country wide practice.Results: It is estimated that currently more than 3800 patients with CRC-PM (synchronous and metachronous) are annually treated with CRS and HIPEC in 430 centers. Integration of CRS and HIPEC in national guidelines varies, resulting in large treatment disparities between countries. Amongst the experts, there was general agreement on issues related to indication, surgical technique and follow up but less on systemic chemotherapy or proactive strategies.Conclusion: This international survey demonstrates that CRS and HIPEC is now performed on a large scale for CRC-PM patients. Variation in treatment may result in heterogeneity in surgical and oncological outcomes, emphasising the necessity to reach consensus on several issues of this comprehensive procedure. Future initiatives directed at achieving an international consensus statement are needed.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kirurgi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Surgery (hsv//eng)

Keyword

Colorectal peritoneal metastases
Cytoreductive surgery
Hyperthermic intraperitoneal chemotherapy

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