Cytoreductive Surgery and Hyperthermic Chemotherapy Role in Peritoneal Carcinomatosis Treatment

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Publicado: mar 1, 2016
DOI: https://doi.org/10.32457/ijmss.2016.0005

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Manterola, C. (2016). Cytoreductive Surgery and Hyperthermic Chemotherapy Role in Peritoneal Carcinomatosis Treatment. International Journal of Medical and Surgical Sciences, 3(1), 759–766. https://doi.org/10.32457/ijmss.2016.0005
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Vol. 3 Núm. 1 (2016): March 2016
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Cytoreductive Surgery and Hyperthermic Chemotherapy Role in Peritoneal Carcinomatosis Treatment

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Carlos Manterola
Departamento de Cirugía. Facultad de Medicina, Universidad de La Frontera, Temuco.

Resumen

The aim of this article is to provide a review of some current therapeutic strategies for patients with peritoneal carcinomatosis (PC), which historically has been considered a terminal condition, only amenable to palliative care, and occasionally systemic chemotherapy alone with poor response and lower average survival. The combination of cytoreductive surgery (CRS), which involves peritonectomy and multivisceral resections and intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) is a relatively new intraperitoneal treatment of microscopic residual disease concept. The indication of this method has been extended progressively to highly selected patients with PC and it is based in several phase III studies, which concluded that it is possible to obtain sufficient cytoreduction. However, until now there is some consensus based on evidence, in which HIPEC would be indicated in patients with peritoneal PC originated in pseudomyxoma, peritoneal mesothelioma and colorectal cancer; and CP from another source, depending on each particularcase.

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