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Complete laparoscopic pelvic peritonectomy plus hyperthermic intraperitoneal chemotherapy

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Abstract

Background

The aim of our study was to present the technique for, and early results of complete laparoscopic pelvic peritonectomy (LPP) plus hyperthermic intraperitoneal chemotherapy (HIPEC).

Methods

We conducted a study on consecutive patients who had LPP for limited peritoneal carcinomatosis (peritoneal carcinomatosis index < 10) from ovarian cancer, colon cancer and benign multicystic mesothelioma, from January 2017 to November 2019 at 2 referral centers in Spain. Perioperative, pathologic, 30-day major morbidity and mortality characteristics were analyzed. The surgical technique is shown in the attached video.

Results

Twelve LPP + HIPEC were performed. Complete cytoreduction was achieved in 100% of the patients, the median duration of the operation was 450 min (range 360–600 min). There were 2 cases (16%) of IIIa morbidity (trocar hernia and pleural effusion), and no mortality. The median length of hospital stay was 5.5 days (range 4–10 days). The median length of follow-up was 10 months (range 2–30 months). There was a recurrence at the splenic hilum in 1 patient which was treated by laparoscopic splenectomy and one nodal recurrence at 13 months while all other patients are alive and free of disease at last follow-up.

Conclusions

This is the first technical video of a minimally invasive approach for complete pelvic peritonectomy plus omentectomy associated with HIPEC. For highly selected patients, this procedure presents a feasible and safe alternative to the maximally invasive approach.

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(Courtesy of Ref. [2])

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Authors and Affiliations

  1. Oncologic and Pancreatic Surgery Unit, University Hospital Reina Sofıa, Menedez Pidal Av., Córdoba, 14004, Spain

    A. Arjona-Sánchez, M. Duran-Martínez, J. M. Sánchez-Hidalgo, A. Casado-Adam, L. Rodriguez-Ortiz, B. Rufian-Andujar, E. Espinosa-Redondo, F. Valenzuela-Molina, S. Rufián-Peña & J. Briceño-Delgado

  2. Maimonides Biomedical Research Institute of Cordoba (IMIBIC), University of Cordoba, University Hospital Reina Sofıa, Córdoba, Spain

    A. Arjona-Sánchez, J. M. Sánchez-Hidalgo, A. Casado-Adam, L. Rodriguez-Ortiz, A. Romero-Ruiz, S. Rufián-Peña & J. Briceño-Delgado

  3. Oncologic Surgery Unit, Hospital Infanta Elena, Madrid, Spain

    D. Cortés-Guiral & P. Villarejo-Campos

Authors
  1. A. Arjona-Sánchez
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  2. D. Cortés-Guiral
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  3. M. Duran-Martínez
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  4. P. Villarejo-Campos
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  5. J. M. Sánchez-Hidalgo
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  6. A. Casado-Adam
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  7. L. Rodriguez-Ortiz
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  8. A. Romero-Ruiz
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  9. B. Rufian-Andujar
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  10. E. Espinosa-Redondo
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  11. F. Valenzuela-Molina
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  12. S. Rufián-Peña
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  13. J. Briceño-Delgado
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Corresponding author

Correspondence to A. Arjona-Sánchez.

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The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in this study are in accordance with ethical standars. The study has been approved by local Ethics Committees.

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Informed consent was obtained from all individual participants included in the study.

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Arjona-Sánchez, A., Cortés-Guiral, D., Duran-Martínez, M. et al. Complete laparoscopic pelvic peritonectomy plus hyperthermic intraperitoneal chemotherapy. Tech Coloproctol 24, 1083–1088 (2020). https://doi.org/10.1007/s10151-020-02277-8

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  • DOI: https://doi.org/10.1007/s10151-020-02277-8

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