A Comprehensive Treatment for Peritoneal Metastases from Colorectal Cancer for the Purpose of Cure

DOI Web Site 39 References
  • Yonemura Yutaka
    Peritoneal Surface Oncology Group International Peritoneal Surface Malignancy Treatment Center, Kusatsu General Hospital
  • Mizumoto Akiyoshi
    Peritoneal Surface Malignancy Treatment Center, Kusatsu General Hospital
  • Noguchi Kousuke
    Peritoneal Surface Malignancy Treatment Center, Kusatsu General Hospital
  • Hirano Masamitsu
    Peritoneal Surface Malignancy Treatment Center, Kusatsu General Hospital

Bibliographic Information

Other Title
  • 大腸癌腹膜播種に対する治癒を目指す包括的治療
Published
2016
DOI
  • 10.3862/jcoloproctology.69.135
Publisher
The Japan Society of Coloproctology

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Description

Peritoneal Surface Oncology International (PSOGI) issued international recommendations for the management of CPM on October 17-19, 2014, in Amsterdam. The recommendations are follows: (1) CRS combined with HIPEC is the treatment indicated for selected patients with moderate to small-volume CPM; (2) Treatment should be avoided in patients with a PCI score higher than the threshold level and in patients who are unlikely to undergo a complete resection, or who are unlikely to achieve full recovery because of old age or comorbidities; (3) CRS and HIPEC should not be offered at institutions where there is insufficient knowledge or insufficient skill; and (4) Developing centers should be supported by experienced teams until the learning curve is completed. Action regarding acceptance of this important comprehensive treatment in Japan is overdue.

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