Current Status and Future Directions in the Treatment of Peritoneal Dissemination from Colorectal Carcinoma

被引：34

作者：

Elias, Dominique ^{[1
]}

Quenet, Francois ^{[2
]}

Goere, Diane ^{[1
]}

机构：

[1] Inst Gustave Roussy, Dept Gen Oncol Surg, F-94805 Villejuif, France

[2] Ctr Anticanc Val dAurelle, Dept Chirurg, F-34298 Montpellier, France

来源：

SURGICAL ONCOLOGY CLINICS OF NORTH AMERICA | 2012年 / 21卷 / 04期

关键词：

Colon; Rectum; Peritoneal carcinomatosis; Cytoreductive surgery; Intraperitoneal chemohyperthermia; INTRAPERITONEAL CHEMOTHERAPY; LIVER METASTASES; CANCER; SURGERY; CYTOREDUCTION;

D O I：

10.1016/j.soc.2012.07.014

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Peritoneal carcinomatosis (PC) carries a worse prognosis than other sites of colorectal metastases. If incomplete resection of PC affords no benefit to patients, complete resection of PC is beneficial in selected patients. The combination of complete cytoreductive surgery to treat the visible PC and hyperthermic intraperitoneal chemotherapy (HIPEC) to treat the nonvisible PC is on the verge of becoming the gold standard. The prognostic impact of a complete resection is high, but that of HIPEC per se is more hypothetical. The presence of a few resectable liver metastases associated with PC is not a contraindication to surgery plus HIPEC.

引用

页码：611 / +

页数：15

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