An international consensus has been reached on the definition of textbook oncologic outcomes (TOO) in cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) for colorectal peritoneal metastasis. The TOO parameters for CRS/HIPEC in this context include absence of certain complications, achievement of complete cytoreduction, and no contraindications for chemotherapy. A study cohort of 251 patients showed that patients who met TOO criteria had significantly better overall survival and disease-free survival compared to those who did not. Achievement of TOO as defined by consensus is associated with improved survival.
Journal Article by Zohar N, Nevler A (…) Bowne WB et 6 al. in J Am Coll Surg
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