Prospective correlation of the radiological, surgical and pathological findings in patients undergoing cytoreductive surgery for colorectal peritoneal metastases: implications for the preoperative estimation of the peritoneal cancer index.
A BhattP RoussetN BenzerdjebPraveen KammarS MehtaL ParikhG GoswamiS ShaikhV KepenekianG PassotO GlehenPublished in: Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland (2020)
The rPCI and sPCI both concurred with pPCI in approximately two thirds of patients. Preoperative evaluation should focus on the range in which the sPCI lies and not its absolute value. Radiological evaluation did not overestimate sPCI in any patient with high/moderate-volume disease. The benefit of CRS in patients with a high r/sPCI (> 20) who respond to systemic therapies should be prospectively evaluated.