Surgical Results of Patients with Peritoneal Carcinomatosis Treated with Cytoreductive Surgery Using a New Technique Named Aqua Dissection
Joint Authors
Yonemura, Yutaka
Li, Yan
Ishibashi, H.
Elnemr, Ayman
Mizumoto, Akiyoshi
Miura, Masahiro
Endou, Yoshio
Source
Gastroenterology Research and Practice
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-05-15
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
During 2004 to 2011, 81, 420, and 166 patients with colorectal cancer (CRC), epithelial appendiceal neoplasm (APN), and gastric cancer (GC) with PC were treated with cytoreductive surgery (CRS) plus perioperative chemotherapy.
CRS was performed by peritonectomy techniques using an aqua dissection.
Results.
Complete cytoreduction was done in 62/81 (76.5%), 228/420 (54.3%), and 101/166 (60.8%) of patients with CRC, APN, and GC.
The main reasons of incomplete resections were involvement of all peritoneal regions and diffuse involvement of small bowel.
The incidence (64%, 302/470) of CC-0 resection after introduction of an aqua dissection was significantly higher than before (42%, 82/197).
A total of 41 (6.1%) patients died postoperatively.
Major complication (grade 3-4 complications) occurred in 126 patients (18.9%).
A reoperation was necessary in 36 patients (5.4%).
By the multivariate analysis, PCI scores capable of serving as thresholds for favorable versus poor prognosis in each group and CC scores demonstrated as the independent prognostic factors.
Conclusions.
Peritonectomy using an aqua dissection improves the incidence of complete cytoreduction, and improves the survival of patients with PC.
Patients with PCI larger than the threshold values should be treated with chemotherapy to improve the incidences of complete cytoreduction.
American Psychological Association (APA)
Yonemura, Yutaka& Elnemr, Ayman& Endou, Yoshio& Ishibashi, H.& Mizumoto, Akiyoshi& Miura, Masahiro…[et al.]. 2012. Surgical Results of Patients with Peritoneal Carcinomatosis Treated with Cytoreductive Surgery Using a New Technique Named Aqua Dissection. Gastroenterology Research and Practice،Vol. 2012, no. 2012, pp.1-10.
https://search.emarefa.net/detail/BIM-478351
Modern Language Association (MLA)
Yonemura, Yutaka…[et al.]. Surgical Results of Patients with Peritoneal Carcinomatosis Treated with Cytoreductive Surgery Using a New Technique Named Aqua Dissection. Gastroenterology Research and Practice No. 2012 (2012), pp.1-10.
https://search.emarefa.net/detail/BIM-478351
American Medical Association (AMA)
Yonemura, Yutaka& Elnemr, Ayman& Endou, Yoshio& Ishibashi, H.& Mizumoto, Akiyoshi& Miura, Masahiro…[et al.]. Surgical Results of Patients with Peritoneal Carcinomatosis Treated with Cytoreductive Surgery Using a New Technique Named Aqua Dissection. Gastroenterology Research and Practice. 2012. Vol. 2012, no. 2012, pp.1-10.
https://search.emarefa.net/detail/BIM-478351
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-478351