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Added by mollevi
Group name EquipeMY
Item Type Journal Article
Title Management of colorectal peritoneal metastases: Expert opinion
Creator Abboud et al.
Author K. Abboud
Author M. Brunel
Author M. Ducreux
Author C. Eveno
Author O. Glehen
Author D. Goéré
Author J.-M. Gornet
Author J. H. Lefevre
Author P. Mariani
Author A. Pinto
Author F. Quenet
Author O. Sgarbura
Author M. Ychou
Author M. Pocard
Abstract When peritoneal metastases are diagnosed (strong agreement of experts): (i) seek advice from a multidisciplinary coordination meeting (MCM) with large experience in peritoneal disease (e.g. BIG RENAPE network); (ii) transfer (or not) the patient to a referral center with experience in hyperthermic intraperitoneal chemotherapy (HIPEC), according to the advice of the MCM. With regard to systemic chemotherapy (strong agreement of experts): (i) it should be performed both before and after surgery, (ii) for no longer than 6 months; (iii) without postoperative anti-angiogenetic drugs. With regard to cytoreductive surgery (strong agreement of experts): (i) Radical surgery requires a xiphopubic midline incision; (ii) no cytoreductive surgery via laparoscopy. With regard to HIPEC: HIPEC can be proposed for trials outside an HIPEC referral center (weak agreement between experts): (i) if surgery is radical; (ii) if the expected morbidity is "reasonable"; (iii) if the indication for HIPEC was suggested by a MCM, and; (iv) mitomycin is preferred to oxaliplatin (which cannot be recommended) for this indication.
Publication Journal of Visceral Surgery
Date Aug 26, 2019
Journal Abbr J Visc Surg
Language eng
DOI 10.1016/j.jviscsurg.2019.08.002
ISSN 1878-7886
Short Title Management of colorectal peritoneal metastases
Library Catalog PubMed
Extra 00000 PMID: 31466831
Tags Antineoplastic Agents, Antineoplastic Combined Chemotherapy Protocols, Carcinoma, Carcinomatosis, Chemotherapy, Cancer, Regional Perfusion, Colorectal Neoplasms, Combined Modality Therapy, Cytoreduction Surgical Procedures, Cytoreductive surgery, HIPEC, Humans, Hyperthermia, Induced, Peritoneal Neoplasms
Date Added 2019/09/12 - 14:15:47
Date Modified 2020/08/20 - 11:05:01
Notes and Attachments PubMed entry (Attachment)
PubMed entry (Attachment)
PubMed entry (Attachment)


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