Assessing morbidity, mortality, and survival in patients with peritoneal carcinomatosis undergoing cytoreductive surgery and hyperthermic intraperitoneal chemotherapy
| dc.creator | Jairo Sebastian Astudillo Vallejo | |
| dc.creator | Fábio Lopes de Queiroz | |
| dc.creator | Antonio Lacerda Filho | |
| dc.creator | Paulo Rocha França Neto | |
| dc.creator | Breno Xaia m. Costa | |
| dc.creator | Rodrigo de Almeida Paiva | |
| dc.creator | Silverio Leonardo Macedo Garcia | |
| dc.creator | Sergio Botrel Silva | |
| dc.date.accessioned | 2025-08-04T18:14:32Z | |
| dc.date.accessioned | 2025-09-09T00:13:12Z | |
| dc.date.available | 2025-08-04T18:14:32Z | |
| dc.date.issued | 2023 | |
| dc.format.mimetype | ||
| dc.identifier.doi | 10.1590/0100-6991e-20233421 | |
| dc.identifier.issn | 01006991 | |
| dc.identifier.uri | https://hdl.handle.net/1843/83994 | |
| dc.language | eng | |
| dc.publisher | Universidade Federal de Minas Gerais | |
| dc.rights | Acesso Aberto | |
| dc.subject | Mortality | |
| dc.subject | Survival. | |
| dc.subject | Peritoneal Diseases | |
| dc.subject | Cytoreduction Surgical Procedures | |
| dc.subject | Hyperthermic Intraperitoneal Chemotherapy | |
| dc.subject.other | Mortality | |
| dc.subject.other | Survival | |
| dc.subject.other | Peritoneal Diseases | |
| dc.subject.other | Cytoreduction Surgical Procedures | |
| dc.subject.other | Hyperthermic Intraperitoneal Chemotherapy | |
| dc.title | Assessing morbidity, mortality, and survival in patients with peritoneal carcinomatosis undergoing cytoreductive surgery and hyperthermic intraperitoneal chemotherapy | |
| dc.title.alternative | Avaliação da morbimortalidade e da sobrevida em pacientes portadores de carcinomatose peritoneal submetidos a cirurgia citorretorredutora e quimioterapia hipertérmica intraperitoneal (HIPEC) | |
| dc.type | Artigo de periódico | |
| local.citation.epage | 11 | |
| local.citation.issue | e20233421 | |
| local.citation.spage | 1 | |
| local.citation.volume | 50 | |
| local.description.resumo | Peritoneal carcinomatosis (PC) indicates advanced stage cancer, which is generally associated with a poor outcome and a 6 to 12 months. Cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) is an option for treating patients with primary PC, such as mesothelioma, or secondary PC, such as colorectal cancer (CRC) or pseudomixoma. Until recently, such patients were deemed untreatable. Objective: The purpose of this study was to assess the results of CRS + HIPEC in patients with PC. Postoperative complications, mortality and survival rates were evaluated according to the diagnosis. Results: Fifty-six patients with PC, undergoing full CRS + HIPEC between October 2004 and January 2020, were enrolled. The mortality rate was 3.8% and the morbidity rate was 61.5%. Complications were significantly higher in proportion to the duration of surgery (p<0.001). The overall survival rates, as shown in the Kaplan-Meyer curve, were respectively 81%, 74% and 53% at 12, 24 and 60 months. Survival rates according to each diagnosis for the same periods were 87%, 82% and 47% in patients with pseudomixoma, and 77%, 72% and 57% in patients with CRC (log-rank 0.371, p=0.543). Conclusion: CRS with HIPEC is an option for pacients with primary or secondary PC. Although complication rates are high, a longer survival rate may be attained compared to those seen in previously published results; in some cases, patients may even be cured. | |
| local.publisher.country | Brasil | |
| local.publisher.department | MED - DEPARTAMENTO DE CIRURGIA | |
| local.publisher.initials | UFMG | |
| local.url.externa | https://doi.org/10.1590/0100-6991e-20233421-en |