Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy for pseudomyxoma peritonei and appendix tumours in elderly patients: Is it justified? Journal Article
| Authors: | López-López, V.; Cascales-Campos, P. A.; Gil, E.; Arevalo, J.; Gonzalez, A.; Gil, J.; Muñoz-Casares, F. C.; Melero, J. T.; Barrios, P.; Morales, R.; Ramos, I.; Ortega, G.; Camps, B.; González-Bayón, L.; Bretcha-Boix, P.; Farré-Alegre, J.; González-Moreno, S.; Parrilla, P. |
| Article Title: | Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy for pseudomyxoma peritonei and appendix tumours in elderly patients: Is it justified? |
| Abstract: | Background: Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (HIPEC) for pseudomyxoma peritonei and appendix tumours are widespread in the world. It is unclear what should be the attitude in elderly patients. Methods: This retrospective multicenter study collected the database from ten Spanish centers from Spanish Group of Peritoneal Cancer Surgery. The study period was between November 2002 and March 2014. Seventeen patients with age greater than or equal to 75 years with peritoneal carcinomatosis from pseudomyxoma peritonei and appendix tumours met the selection criteria for the study. Outcomes in terms of morbidity and mortality such as disease-free and overall survival were analyzed. Results: Median PCI was 16 (range 6–39). Ten postoperative adverse events were detected in nine patients (44.4%). 28% were grade I–II and 17% were grade III–IV. Disease-free survival at 1 and 3 years was 67 and 44%, respectively. Overall survival at 1 and 3 years was 100 and 88%, respectively. Only cytoreduction was related to worst disease free survival after univariate (p = 0.007) and multivariate (OR 11.639, 95% CI 1.24–109.74, p = 0.03) analyses. Cytoreduction was related to the worst overall survival after univariate analysis (p = 0.046). Conclusion: Cytoreductive surgery and HIPEC for pseudomyxoma peritonei and appendix tumours in elderly patients it is a procedure with feasible postoperative morbi-mortality and survival outcomes. Trial registration: researchregistry1587 (retrospectively registered). © 2017, Federación de Sociedades Españolas de Oncología (FESEO). |
| Keywords: | survival; clinical article; aged; functional assessment; overall survival; disease free survival; postoperative care; preoperative care; follow up; cancer grading; cytoreductive surgery; abdominal abscess; morbidity; retrospective study; pneumonia; postoperative complication; appendix; scoring system; intestine perforation; carcinomatous peritonitis; elderly; appendix tumor; pseudomyxoma peritonei; peritoneum pseudomyxoma; paralytic ileus; hyperthermic intraperitoneal chemotherapy; fungemia; very elderly; intestine fistula; human; male; female; article; hipec; asa score; ecog performance status; lower gastrointestinal bleeding |
| Journal Title: | Clinical & Translational Oncology |
| Volume: | 19 |
| Issue: | 11 |
| ISSN: | 1699-048X |
| Publisher: | Springer Verlag |
| Date Published: | 2017-11-01 |
| Start Page: | 1388 |
| End Page: | 1392 |
| Language: | English |
| DOI: | 10.1007/s12094-017-1728-9 |
| PROVIDER: | scopus |
| PUBMED: | 28812240 |
| DOI/URL: | |
| Notes: | Article -- Export Date: 1 November 2017 -- Source: Scopus |
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