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Cytoreductive Surgery & Peritoneum

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Ann Surg Oncol19 Jan 2024

Improved Survival and Acceptable Complication Rates with Bidirectional Intraoperative Chemotherapy for Peritoneal Sarcomatosis

A retrospective cohort study analyzed 29 patients with peritoneal sarcomatosis who underwent cytoreductive surgery (CRS) with bidirectional intraoperative chemotherapy (BDIC) using intravenous ifosfamide and hyperthermic intraperitoneal chemotherapy (HIPEC). The overall survival rates at 6, 12, 24, and 48 months after CRS/BDIC were 93.1%, 89.2%, 81.4%,…

Ann Surg Oncol12 Jan 2024

Drug Response Heterogeneity Found in Patients Undergoing CRS/HIPEC for Nongynecologic Cancers

Among patients undergoing cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS/HIPEC) for nongynecologic cancers, intra- and interpatient drug response heterogeneity was observed. Researchers generated patient-derived tumor organoids (PDTOs) and conducted in vitro drug screens to assess drug response. PDTOs were successfully generated from 13 out of…

J Am Coll Surg5 Jan 2024

Textbook Oncologic Outcomes Enhance Survival in CRS and HIPEC for Colorectal Peritoneal Metastasis

Expert consensus was achieved on the definition of textbook oncologic outcomes (TOO) in cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) for colorectal peritoneal metastasis. The consensus criteria included the absence of unplanned re-operations, severe postoperative complications, unplanned readmissions, 90-day postoperative mortality, and contraindications for…

Cytoreductive Surgery & Peritoneum29 Dec 2023

Extent of Surgery Found to Impact Gastrointestinal Function in Patients Undergoing CRS and HIPEC

This study investigated the impact of the extent of surgery on late adverse effects (LAEs) in patients undergoing cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC). The study found that patients undergoing extensive CRS experienced persistent impaired gastrointestinal function in terms of diarrhea, compared to…

Cytoreductive Surgery & Peritoneum22 Dec 2023

Financial toxicity risk among patients undergoing CRS-HIPEC: Study reveals one-third at risk

Researchers conducted a retrospective cohort study on 163 patients who underwent cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (CRS-HIPEC) between 2016 and 2022. They found that 31.9% of patients were at risk of financial toxicity, with higher out-of-pocket expenditures and lower income quartiles being significant risk…