The Role of Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy for Appendiceal Tumors and Colorectal Adenocarcinomas.

Abstract:

:Peritoneal surface disease (PSD) has historically been used interchangeably with the term peritoneal carcinomatosis (PC) and has a dismal natural history. A variety of malignant pathologies, including colorectal and appendiceal primary tumors, can disseminate throughout the peritoneal cavity, leading to bowel obstruction and death. In general, peritoneal spread from high-grade appendiceal and colorectal primaries has the potential of hepatic and distant spread and best classified as PC. Low-grade appendiceal tumors are better categorized as PSD, due to low cellularity, high mucin production, and lack of potential spread outside the peritoneal cavity. Growing international experience with cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (HIPEC) over the past 30 years has presented a therapeutic option to patients with PSD from colorectal and appendiceal tumors that can provide significant disease control, as well as potential for previously unattainable long-term survival. The proliferation of HIPEC centers and ongoing prospective trials are helping to standardize HIPEC techniques and patient selection.

journal_name

Clin Colon Rectal Surg

authors

Kuncewitch M,Levine EA,Shen P,Votanopoulos KI

doi

10.1055/s-0038-1642052

subject

Has Abstract

pub_date

2018-09-01 00:00:00

pages

288-294

issue

5

eissn

1531-0043

issn

1530-9681

pii

00869

journal_volume

31

pub_type

杂志文章,评审
  • Genitourinary Considerations in Reoperative and Complex Colorectal Surgery.

    abstract::Genitourinary structures are at risk of injury during colorectal surgery. The incidence of injury is low; however, the risk is higher in cases involving severe inflammatory or infectious processes, locally advanced or recurrent cancer, previous radiation, and reoperation. Consideration of the anatomical relationship b...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0036-1580629

    authors: Althumairi AA,Efron JE

    更新日期:2016-06-01 00:00:00

  • Laparoscopy for Colon Cancer.

    abstract::The use of laparoscopy has become widespread across many surgical specialties. Its utility as treatment for colon cancer was initially met with hesitancy due to concern for port site and wound recurrences; however, this was later disproven by large retrospective series. Subsequently, there have been multiple, large, p...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0036-1597317

    authors: Franklin BR,McNally MP

    更新日期:2017-04-01 00:00:00

  • Is There Any Reason to Still Consider Lateral Lymph Node Dissection in Rectal Cancer? Rationale and Technique.

    abstract::Nodal dissemination in locally advanced rectal cancer occurs mainly in two directions: upward and lateral. Lateral node involvement has been demonstrated; however, lateral lymph node dissection (LLND) is not routinely performed in Western countries and the focus is more on neoadjuvant treatment regimens. The main reas...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0037-1606112

    authors: Kusters M,Uehara K,Velde CJHV,Moriya Y

    更新日期:2017-11-01 00:00:00

  • Transanal Minimally Invasive Surgery.

    abstract::Transanal minimally invasive surgery (TAMIS) was first described in 2010 as a crossover between single-incision laparoscopic surgery and transanal endoscopic microsurgery (TEM) to allow access to the proximal and mid-rectum for resection of benign and early-stage malignant rectal lesions. The TAMIS technique can also ...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0035-1555008

    authors: deBeche-Adams T,Nassif G

    更新日期:2015-09-01 00:00:00

  • Perioperative Fluid Management in the Enhanced Recovery after Surgery (ERAS) Pathway.

    abstract::Fluid management is an essential component of the Enhanced Recovery after Surgery (ERAS) pathway. Optimal management begins in the preoperative period and continues through the intraoperative and postoperative phases. In this review, we outline current evidence-based practices for fluid management through each phase o...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0038-1676476

    authors: Zhu AC,Agarwala A,Bao X

    更新日期:2019-03-01 00:00:00

  • Parasitic colitides.

    abstract::Parasitic infections are a major worldwide health problem, and they account for millions of infections and deaths each year. Most of the infections as well as the morbidity and mortality from these diseases occur in the developing world in rural regions. However, these diseases have become more common in Western count...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-970199

    authors: Goldberg JE

    更新日期:2007-02-01 00:00:00

  • Pediatric Crohn's Disease.

    abstract::The incidence of Crohn's disease in the pediatric population is increasing. While pediatric patients with Crohn's disease exhibit many of the characteristics of older patients, there are important differences in the clinical presentation and course of disease that can impact the clinical decisions made during treatmen...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0037-1609022

    authors: von Allmen D

    更新日期:2018-03-01 00:00:00

  • Laparoscopy for benign colorectal diseases.

    abstract::The applicability of laparoscopy to many complex intraabdominal colorectal procedures continues to expand, and has been shown to be feasible and safe in experienced hands. Data are available on the elderly, rectal prolapse, diverticulitis, Hartman's takedown, small bowel obstruction, Crohn's disease, and ulcerative co...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章

    doi:10.1055/s-0030-1247857

    authors: Shin T,Rafferty JF

    更新日期:2010-02-01 00:00:00

  • Establishing a successful clinical research program.

    abstract::Clinical research (CR) is a natural corollary to clinical surgery. It gives an investigator the opportunity to critically review their results and develop new strategies. This article covers the critical factors and the important components of a successful CR program. The first and most important step is to build a de...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0034-1376171

    authors: Scoglio D,Fichera A

    更新日期:2014-06-01 00:00:00

  • Complex and Reoperative Colorectal Surgery: Setting Expectations and Learning from Experience.

    abstract::A range of topics are covered in this issue dedicated to complex and reoperative colorectal surgery, from radiation-induced surgical problems, to enterocutaneous fistulas and locally advanced or recurrent rectal cancer. Common themes include the importance of operative planning and patient counseling on the expected f...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0036-1580634

    authors: Kin C

    更新日期:2016-06-01 00:00:00

  • Laparoscopy in Crohn's disease.

    abstract::Crohn's disease represents a challenging operative dilemma. The nature of the disease increases the technical complexity of operations, their morbidity, and the likelihood of multiple operations. In this setting, the advantages of laparoscopic surgery, including shorter hospital stays, less adhesion formation, fewer w...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-991033

    authors: Naidu MN,Trang AC,Salky BA

    更新日期:2007-11-01 00:00:00

  • Locally Advanced Disease and Pelvic Exenterations.

    abstract::Advanced primary and recurrent colorectal cancer can be successfully treated by experienced, dedicated centers delivering good outcomes with low mortality and morbidity. Development and implementation of a comprehensive referral pathway is to be encouraged. Multidisciplinary team management is essential in the managem...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0037-1606118

    authors: Kontovounisios C,Tekkis P

    更新日期:2017-11-01 00:00:00

  • Surgical Options and Approaches for Lower Gastrointestinal Bleeding: When do we operate and what do we do?

    abstract::Lower gastrointestinal bleeding (LGIB) is a common entity encountered by the surgeon. Though most LGIB stops on its own, familiarity with the diagnoses and their treatments is critical to optimal patient care. Even in 2016, surgery may be required. Advances in imaging have led to an enhanced ability to localize bleedi...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0039-1693439

    authors: Greco L,Zhang J,Ross H

    更新日期:2020-01-01 00:00:00

  • Surgical hemorrhage, damage control, and the abdominal compartment syndrome.

    abstract::The morbidity and mortality associated with surgical hemorrhage are considerable, particularly when relaparotomy is necessary. This complication can usually be avoided with comprehensive preoperative patient evaluation and meticulous surgical technique. The damage control sequence is a useful surgical strategy when se...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章

    doi:10.1055/s-2006-956439

    authors: Hammond KL,Margolin DA

    更新日期:2006-11-01 00:00:00

  • Types of Leadership and How to Use Them in Surgical Areas.

    abstract::Surgery is a very complex, changing, and, sometimes, threatening environment. Emotional intelligence is a key skill for surgical leaders. Authoritarian, hierarchical, transactional, transformational, adaptive, situational, and servant-shepherd leadership can all be used in surgical leadership. Patient care must be the...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0040-1709457

    authors: Onaca N,Fleshman JW

    更新日期:2020-07-01 00:00:00

  • Management of colonic obstruction: a review.

    abstract::Large bowel obstruction is a common problem with many different causes, the most common being colorectal adenocarcinoma, extracolonic adenocarcinoma, diverticular disease, volvulus, and inflammatory bowel disease. The nature of the obstruction can influence the best management. Historically, treatment of obstruction c...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0032-1329533

    authors: Sawai RS

    更新日期:2012-12-01 00:00:00

  • Pruritus Ani.

    abstract::Pruritus ani is a common condition with many different potential causes. Because of this, it can be difficult to treat. It is important to identify and eliminate any inciting factors, which are often unintentional consequences of the patient's attempts to alleviate symptoms. If no reversible cause is found, simple mea...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0035-1570391

    authors: Ansari P

    更新日期:2016-03-01 00:00:00

  • Laparoscopy for inflammatory bowel disease: pushing the envelope.

    abstract::Despite the slower learning curve of laparoscopic colectomy and the lack of prospective randomized trials, laparoscopic procedures have repeatedly demonstrated a shortened length of stay, reduction in postoperative ileus, and earlier resumption of diet. However, laparoscopy in inflammatory bowel disease has unique cha...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章

    doi:10.1055/s-2006-939528

    authors: Marcello PW

    更新日期:2006-02-01 00:00:00

  • Perineal wound complications after abdominoperineal resection.

    abstract::Perineal wound complications following abdominoperineal resection (APR) is a common occurrence. Risk factors such as operative technique, preoperative radiation therapy, and indication for surgery (i.e., rectal cancer, anal cancer, or inflammatory bowel disease [IBD]) are strong predictors of these complications. Pati...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章

    doi:10.1055/s-2008-1055325

    authors: Wiatrek RL,Thomas JS,Papaconstantinou HT

    更新日期:2008-02-01 00:00:00

  • Abdominal wall reconstruction in patients with digestive tract fistulas.

    abstract::Abdominal wall reconstruction in the digestive tract fistula patient is a complex issue. The authors review the available data and present information regarding the timing of surgery, techniques of abdominal wall reconstruction, hernia repair, and discuss pitfalls associated with the various options. A simple and basi...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章

    doi:10.1055/s-0030-1262988

    authors: Johnson EK,Tushoski PL

    更新日期:2010-09-01 00:00:00

  • Use of intra-abdominal drains.

    abstract::The use of drains in colorectal surgery has been a subject of debate for several decades. Prophylactic drainage of the peritoneal cavity has become less popular in recent years. This change is due to several studies demonstrating that intraperitoneal drains do not adequately drain the peritoneal cavity and do not prev...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0033-1351134

    authors: Puleo FJ,Mishra N,Hall JF

    更新日期:2013-09-01 00:00:00

  • Miscellaneous Perianal Afflictions.

    abstract::This article provides an overview of hidradenitis suppurativa, lichen planus, lichen sclerosis, calcinosis cuti, pyogenic granuloma, intertrigo, and seborrheic keratosis. This article also focuses on recognition and management of these pleomorphic afflictions of the perianal region. ...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0039-1687836

    authors: Hagerman GF,Silva-Velazco J,Molina-Lopez JF

    更新日期:2019-09-01 00:00:00

  • Techniques in total mesorectal excision surgery.

    abstract::Advances in the surgical management of rectal cancer have placed the quality of total mesorectal excision (TME) as the major predictor in overall survival. A standardized TME technique along with quality increases the percentage of patients undergoing a complete TME. Quality measurements of TME will place increasing d...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0035-1545066

    authors: Lichliter WE

    更新日期:2015-03-01 00:00:00

  • Laparoscopic surgery for crohn disease: a brief review of the literature.

    abstract::Crohn disease remains a challenging clinical entity, both medically and surgically. It frequently presents in early adulthood and imposes a lifetime exposure to chronic inflammation that can affect the entire gastrointestinal tract. Although the mainstay of therapy is treatment with immunomodulating drugs, ∼70 to 90% ...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0033-1348051

    authors: Aarons CB

    更新日期:2013-06-01 00:00:00

  • Premalignant lesions of the anal canal and squamous cell carcinoma of the anal canal.

    abstract::Squamous cell carcinoma of the anus (SCCA) is a rare tumor. However, its incidence has been increasing in men and women over the past 25 years worldwide. Risk factors associated with this cancer are those behaviors that predispose individuals to human papillomavirus (HPV) infection and immunosuppression. Anal cancer i...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章

    doi:10.1055/s-0031-1286002

    authors: Poggio JL

    更新日期:2011-09-01 00:00:00

  • Electronic Health Record-Based Registries: Clinical Research Using Registries in Colon and Rectal Surgery.

    abstract::Electronic health records (EHRs) or electronic medical records (EMRs) contain a vast amount of clinical data that can be useful for multiple purposes including research. Disease registries are collections of data in predefined formats for population management, research, and other purposes. There are differences betwe...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0038-1673358

    authors: Carlson J,Laryea J

    更新日期:2019-01-01 00:00:00

  • Postoperative Complications: Looking Forward to a Safer Future.

    abstract::Colorectal surgery patients frequently suffer from postoperative complications. Patients with complications have been shown to be at higher risk for mortality, poor oncologic outcomes, additional complications, and worse quality of life. Complications are increasingly recognized as markers of quality of care with more...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0036-1584501

    authors: Tevis SE,Kennedy GD

    更新日期:2016-09-01 00:00:00

  • Learning Transanal Total Mesorectal Excision.

    abstract::A dynamic evolution is occurring in transanal surgery. Transanal techniques began with intraluminal surgical removal of rectal masses and have progressed to transanal total mesorectal excision (taTME) for rectal cancer. TaTME was first performed in 2009 by Sylla, Rattner, Delgado, and Lacy. This article documents the ...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0039-3402779

    authors: McLemore EC,Lavi P,Attaluri V

    更新日期:2020-05-01 00:00:00

  • Intestinal Intussusception: Etiology, Diagnosis, and Treatment.

    abstract::Intussusception is defined as the invagination of one segment of the bowel into an immediately adjacent segment of the bowel. Idiopathic ileocolic intussusception is the most common form in children and is typically managed with nonoperative reduction via pneumatic and/or hydrostatic enemas. In the adult population, i...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0036-1593429

    authors: Marsicovetere P,Ivatury SJ,White B,Holubar SD

    更新日期:2017-02-01 00:00:00

  • Office evaluation of rectal bleeding.

    abstract::Rectal bleeding is a common presentation to the colon and rectal surgeon's office. It is important to develop a systematic approach to its evaluation so as not to miss the presence of a malignancy. The possibility of more than one diagnosis contributing to the symptom should always be kept in mind. It may therefore be...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章

    doi:10.1055/s-2005-922847

    authors: Ferguson MA

    更新日期:2005-11-01 00:00:00