Treatment of Peritoneal Surface Malignancies by Angelo Giorgio & Enrico Pinto

Author:Angelo Giorgio & Enrico Pinto
Language: eng
Format: epub
Publisher: Springer Milan, Milano

Fig. 13.2Lesser omentectomy and stripping of the omental bursa floor

Another challenging problem, especially in patients with CRC, concerns coexisting PC with liver metastases. A meta-analysis conducted by Dutch investigators showed a trend toward lower OS after curative resection plus HIPEC in patients with CRC metastases in the liver, as well as in the peritoneum, than in patients with peritoneal metastases alone after the same treatment [48]. Although this approach can be used to treat PC and liver metastases during the same procedure in selected patients, only patients who have limited peritoneal spread (PCI < 12) and a limited extent of liver disease (liver metastases < 3) really benefit from this approach, with a median survival of 40 months [49].

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