Current clinical practices of cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC).
Miklos AcsMaximilian BabuckeMaximilian JusufiZsolt KaposztasPrzemyslaw SlowikMatthias HornungHans J SchlittIvan PanczelJudit HevesiJonas HerzbergTim StratePompiliu PisoPublished in: Innovative surgical sciences (2024)
Treatment of peritoneal surface malignancies makes physicians face demanding and new-fangled problems, as there are many uncertain aspects considering the outcomes of affected patients' prognoses. Cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) are associated with favorable long-term outcomes in carefully selected patients with peritoneal metastases (PM). We aim to summarize the current results about the initial malignancies and their peritoneal spreads. The current literature has been scrutinized, and studies between 2016 and 2022 were included wherein long-term, progression-free (PFS), and overall survival (OS) data were considered relevant information. Medline, Embase, and Google Scholar have been the main sources. Hereby, we cover all the primer malignancies: gastric, ovarian, and colorectal cancers with peritoneal metastases (PM), malignant peritoneal mesothelioma, and pseudomyxoma peritonei. Examining the advances in the current peer-reviewed literature about the indications of cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC), target groups, risk factors, and other influencing elements, we intend to provide a complex state-of-the-art report, establishing the relevant aspects of that emerging treatment method.
Keyphrases
- minimally invasive
- coronary artery bypass
- risk factors
- systematic review
- end stage renal disease
- primary care
- particulate matter
- locally advanced
- air pollution
- healthcare
- chronic kidney disease
- surgical site infection
- mental health
- newly diagnosed
- heavy metals
- metabolic syndrome
- squamous cell carcinoma
- polycyclic aromatic hydrocarbons
- peritoneal dialysis
- machine learning
- electronic health record
- metastatic renal cell carcinoma
- radiation therapy
- social media
- skeletal muscle
- young adults
- insulin resistance
- health information
- atrial fibrillation
- glycemic control
- data analysis
- chemotherapy induced