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Minimally Invasive Hyperthermic Intraperitoneal Perfusion for Gastric Cancer

  • Timothy E. Newhook
  • Brian BadgwellEmail author
Chapter

Abstract

Patients diagnosed with stage IV gastric adenocarcinoma have traditionally been offered definitive chemotherapy or best supportive care. However, patients with metastases restricted to the peritoneal cavity, either with carcinomatosis or positive peritoneal cytology, may represent a population with further therapeutic options. Laparoscopic hyperthermic intraperitoneal chemotherapy (HIPEC) has been shown to be a safe operation for patients with carcinomatosis and positive peritoneal cytology from metastatic gastric adenocarcinoma and may lead to gastrectomy for select patients. Direct application of cytotoxic therapy to the peritoneum via HIPEC has been traditionally performed via laparotomy and has led to high morbidity. This innovative minimally invasive approach for select patients with metastatic gastric adenocarcinoma presents an opportunity for further treatment options with much lower morbidity.

Keywords

Hyperthermic intraperitoneal chemotherapy HIPEC Gastric cancer Laparoscopic HIPEC 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.The University of Texas MD Anderson Cancer CenterHoustonUSA

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