Pleura and Peritoneum最新文献

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Erector spinae plane blocks for day-case medical thoracoscopy: a pilot clinical study. 直立者脊柱平面块用于日间医学胸腔镜检查:一项试点临床研究。
IF 1.8
Pleura and Peritoneum Pub Date : 2022-12-01 DOI: 10.1515/pp-2022-0115
Jamie McPherson, Edward Halvey, Avinash Aujayeb
{"title":"Erector spinae plane blocks for day-case medical thoracoscopy: a pilot clinical study.","authors":"Jamie McPherson,&nbsp;Edward Halvey,&nbsp;Avinash Aujayeb","doi":"10.1515/pp-2022-0115","DOIUrl":"https://doi.org/10.1515/pp-2022-0115","url":null,"abstract":"<p><strong>Objectives: </strong>Erector spinae plane (ESP) blocks are a regional anaesthetic technique used for pain relief in thoracic procedures. Our centre has recently begun using ESP blocks pre-medical thoracoscopy for analgesia.</p><p><strong>Methods: </strong>Nine patients undergoing MT from September 2021 to February 2022 were included. Opioid use and depth of required sedation was recorded. Pre and post pain scores and at home were recorded by interview and review of charts. A functional pain questionnaire was administered via telephone.</p><p><strong>Results: </strong>Average greatest depth of sedation using propofol was 1.92 (standard error of mean [SEM] 0.27), with remifentanil 2.52 (SEM 0.46). 78% required oral analgesia on day 0 post discharge. 55% required oral analgesia on post-op day 1. Patients used an average of 3.33 mg oral morphine (SEM 2.35) in hospital, and 3 mg (SEM 2) on post-op day 1. Periprocedural pain scores were 0.66 (SEM 0.27). Pain scores in recovery were 1.56 (SEM 0.76). Pain scores 3-12 h post discharge were 3.56 (SEM 0.7), while pain scores on post-op day 1 were significantly higher at 5.56 (SEM 0.90) (Figure 1). Functional pain scoring showed patients doing activities of daily living well with a good ability to breathe and cough. All felt that their pain was well controlled on the day of the procedure and at home. No complications were reported.</p><p><strong>Conclusions: </strong>ESP blocks provide good analgesia. Pain scores showed significant analgesic effect lasting several hours. The project showed pain outcomes and patient acceptability were good for the use of regional anaesthesia.</p>","PeriodicalId":20231,"journal":{"name":"Pleura and Peritoneum","volume":"7 4","pages":"187-190"},"PeriodicalIF":1.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9742453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10788490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Cytologic features of epithelioid gastrointestinal stromal tumor in a pleural effusion. A diagnostic challenge. 胸腔积液中上皮样胃肠道间质瘤的细胞学特征。诊断上的挑战。
IF 1.8
Pleura and Peritoneum Pub Date : 2022-12-01 DOI: 10.1515/pp-2022-0196
Mariel Valdivia-Mazeira, Carlos Gordillo, Zehra Avan, Lidia Castillo-Gázquez, José A Jiménez-Heffernan
{"title":"Cytologic features of epithelioid gastrointestinal stromal tumor in a pleural effusion. A diagnostic challenge.","authors":"Mariel Valdivia-Mazeira,&nbsp;Carlos Gordillo,&nbsp;Zehra Avan,&nbsp;Lidia Castillo-Gázquez,&nbsp;José A Jiménez-Heffernan","doi":"10.1515/pp-2022-0196","DOIUrl":"https://doi.org/10.1515/pp-2022-0196","url":null,"abstract":"","PeriodicalId":20231,"journal":{"name":"Pleura and Peritoneum","volume":"7 4","pages":"191-193"},"PeriodicalIF":1.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9742452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10788491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) in small bowel adenocarcinoma with peritoneal metastasis: a systematic review. 细胞减少手术(CRS)和腹腔热化疗(HIPEC)治疗伴有腹膜转移的小肠腺癌:一项系统综述。
IF 1.8
Pleura and Peritoneum Pub Date : 2022-12-01 DOI: 10.1515/pp-2022-0121
Vicky Chen, Morgan Jones, Lauren Cohen, Wilson Yang, Jasman Bedi, Helen M Mohan, Sameer S Apte, José Tomas Larach, Michael Flood, Alexander Heriot, Joseph Kong, Satish Warrier
{"title":"Cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) in small bowel adenocarcinoma with peritoneal metastasis: a systematic review.","authors":"Vicky Chen,&nbsp;Morgan Jones,&nbsp;Lauren Cohen,&nbsp;Wilson Yang,&nbsp;Jasman Bedi,&nbsp;Helen M Mohan,&nbsp;Sameer S Apte,&nbsp;José Tomas Larach,&nbsp;Michael Flood,&nbsp;Alexander Heriot,&nbsp;Joseph Kong,&nbsp;Satish Warrier","doi":"10.1515/pp-2022-0121","DOIUrl":"https://doi.org/10.1515/pp-2022-0121","url":null,"abstract":"<p><strong>Objectives: </strong>Small bowel adenocarcinoma (SBA) with peritoneal metastasis (PM) is rare and despite treatment with systemic chemotherapy, the prognosis is poor. However, there is emerging evidence that cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) may offer a survival benefit over systemic therapy alone. This systematic review will assess the effectiveness of CRS-HIPEC for SBA-PM.</p><p><strong>Content: </strong>Three databases were searched from inception to 11/10/21. Clinical outcomes were extracted and analysed.</p><p><strong>Summary: </strong>A total of 164 cases of SBA-PM undergoing CRS-HIPEC were identified in 12 studies. The majority of patients had neoadjuvant chemotherapy (87/164, 53%) and complete cytoreduction (143/164, 87%) prior to HIPEC. The median overall survival was 9-32 months and 5-year survival ranged from 25 to 40%. Clavien-Dindo grade III/IV morbidity ranged between 19.1 and 50%, while overall mortality was low with only 3 treatment-related deaths.</p><p><strong>Outlook: </strong>CRS-HIPEC has the potential to improve the overall survival in a highly selected group of SBA-PM patients, with 5-year survival rates comparable to those reported in colorectal peritoneal metastases. However, the expected survival benefits need to be balanced against the intrinsic risk of morbidity and mortality associated with the procedure. Further multicentre studies are required to assess the safety and feasibility of CRS-HIPEC in SBA-PM to guide best practice management for this rare disease.</p>","PeriodicalId":20231,"journal":{"name":"Pleura and Peritoneum","volume":"7 4","pages":"159-167"},"PeriodicalIF":1.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9742456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10788494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Multicenter dose-escalation Phase I trial of mitomycin C pressurized intraperitoneal aerosolized chemotherapy in combination with systemic chemotherapy for appendiceal and colorectal peritoneal metastases: rationale and design. 丝裂霉素C加压腹腔内雾化化疗联合全身化疗治疗阑尾和结直肠腹膜转移的多中心剂量递增I期临床试验:原理和设计。
IF 1.8
Pleura and Peritoneum Pub Date : 2022-12-01 DOI: 10.1515/pp-2022-0116
Mustafa Raoof, Kevin M Sullivan, Paul H Frankel, Marwan Fakih, Timothy W Synold, Dean Lim, Yanghee Woo, Isaac Benjamin Paz, Yuman Fong, Rebecca Meera Thomas, Sue Chang, Melissa Eng, Raechelle Tinsley, Richard L Whelan, Danielle Deperalta, Marc A Reymond, Jeremy Jones, Amit Merchea, Thanh H Dellinger
{"title":"Multicenter dose-escalation Phase I trial of mitomycin C pressurized intraperitoneal aerosolized chemotherapy in combination with systemic chemotherapy for appendiceal and colorectal peritoneal metastases: rationale and design.","authors":"Mustafa Raoof,&nbsp;Kevin M Sullivan,&nbsp;Paul H Frankel,&nbsp;Marwan Fakih,&nbsp;Timothy W Synold,&nbsp;Dean Lim,&nbsp;Yanghee Woo,&nbsp;Isaac Benjamin Paz,&nbsp;Yuman Fong,&nbsp;Rebecca Meera Thomas,&nbsp;Sue Chang,&nbsp;Melissa Eng,&nbsp;Raechelle Tinsley,&nbsp;Richard L Whelan,&nbsp;Danielle Deperalta,&nbsp;Marc A Reymond,&nbsp;Jeremy Jones,&nbsp;Amit Merchea,&nbsp;Thanh H Dellinger","doi":"10.1515/pp-2022-0116","DOIUrl":"https://doi.org/10.1515/pp-2022-0116","url":null,"abstract":"<p><strong>Objectives: </strong>Peritoneal metastasis (PM) from appendiceal cancer or colorectal cancer (CRC) has significant morbidity and limited survival. Pressurized intraperitoneal aerosolized chemotherapy (PIPAC) is a minimally invasive approach to treat PM. We aim to conduct a dose-escalation trial of mitomycin C (MMC)-PIPAC combined with systemic chemotherapy (FOLFIRI) in patients with PM from appendiceal cancer or CRC.</p><p><strong>Methods: </strong>This is a multicenter Phase I study of MMC-PIPAC (NCT04329494). Inclusion criteria include treatment with at least 4 months of first- or second-line systemic chemotherapy with ineligibility for cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS-HIPEC). Exclusion criteria are: progression on chemotherapy; extraperitoneal metastases; systemic chemotherapy intolerance; bowel obstruction; or poor performance status (ECOG>2). Escalating MMC-PIPAC doses (7-25 mg/m<sup>2</sup>) will be administered in combination with standard dose systemic FOLFIRI. Safety evaluation will be performed on 15 patients (dose escalation) and six expansion patients: 21 evaluable patients total.</p><p><strong>Results: </strong>The primary endpoints are recommended MMC dose and safety of MMC-PIPAC with FOLFIRI. Secondary endpoints are assessment of response (by peritoneal regression grade score; Response Evaluation Criteria in Solid Tumors [RECIST 1.1], and peritoneal carcinomatosis index), progression free survival, overall survival, technical failure rate, surgical complications, conversion to curative-intent CRS-HIPEC, patient-reported outcomes, and functional status. Longitudinal blood and tissue specimens will be collected for translational correlatives including pharmacokinetics, circulating biomarkers, immune profiling, and single-cell transcriptomics.</p><p><strong>Conclusions: </strong>This Phase I trial will establish the recommended dose of MMC-PIPAC in combination with FOLFIRI. Additionally, we expect to detect an early efficacy signal for further development of this therapeutic combination.</p>","PeriodicalId":20231,"journal":{"name":"Pleura and Peritoneum","volume":"7 4","pages":"169-177"},"PeriodicalIF":1.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9742457/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10275848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Peritoneal regression grading score (PRGS) in peritoneal metastasis: how many biopsies should be examined? 腹膜转移的腹膜回归分级评分(PRGS):应该检查多少次活检?
IF 1.8
Pleura and Peritoneum Pub Date : 2022-12-01 DOI: 10.1515/pp-2022-0118
Wiebke Solass, Christoph Meisner, Florian Kurtz, Giorgi Nadiradze, Marc A Reymond, Hans Bösmüller
{"title":"Peritoneal regression grading score (PRGS) in peritoneal metastasis: how many biopsies should be examined?","authors":"Wiebke Solass,&nbsp;Christoph Meisner,&nbsp;Florian Kurtz,&nbsp;Giorgi Nadiradze,&nbsp;Marc A Reymond,&nbsp;Hans Bösmüller","doi":"10.1515/pp-2022-0118","DOIUrl":"https://doi.org/10.1515/pp-2022-0118","url":null,"abstract":"<p><strong>Objectives: </strong>The four-tied peritoneal regression grading score (PRGS) is increasingly used to evaluate the response of peritoneal metastases (PM) to chemotherapy. The minimal number of peritoneal biopsies needed for PRGS determination remains unclear.</p><p><strong>Methods: </strong>A prospective cohort of 89 PM patients treated with 210 pressurized intraperitoneal aerosol chemotherapy (PIPAC) cycles was investigated. Four biopsies from every abdominal quadrant were recommended. Histological tumor response was defined as a stable or decreasing mean PRGS between therapy cycles, progression increasing. We compared the diagnostic uncertainty induced by missing biopsies to the histological response.</p><p><strong>Results: </strong>A total of 49 patients had at least two PIPAC and were eligible for therapy response assessment. Mean PRGS decreased from 2.04 (CI 5-95% 1.85-2.27) to 1.79 (CI 5-95% 1.59-2.01), p=0.14, as a proof of therapy effectiveness. 35 (71.4%) patients had a stable or decreasing PRGS (therapy response), 14 (28.6%) a PRGS increase (disease progression). Histology showed agreement between four biopsies in 42/210 laparoscopies (20%), between ≥3 biopsies in 103 (49%), and between ≥2 biopsies in 169 laparoscopies (81%). Mean loss of information with one missing biopsy was 0.11 (95% CI=0.13) PRGS points, with two missing biopsies 0.18 (95% CI 0.21). In 9/49 patients (18.3%), the loss of information with one less biopsy exceeded the change in PRGS under therapy.</p><p><strong>Conclusions: </strong>A minimum of three biopsies is needed to diagnose PM progression with an accuracy superior to 80%. Missing biopsies often result in a false diagnosis of tumor progression.</p>","PeriodicalId":20231,"journal":{"name":"Pleura and Peritoneum","volume":"7 4","pages":"179-185"},"PeriodicalIF":1.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9742454/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10788489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Peritoneal metastases of unknown primary with hepatoid features. 原发不明伴肝样特征的腹膜转移灶。
IF 1.8
Pleura and Peritoneum Pub Date : 2022-08-19 eCollection Date: 2022-09-01 DOI: 10.1515/pp-2022-0113
Lakhdar Khellaf, Stéphanie Nougaret, Sébastien Carrère, Frédéric Bibeau
{"title":"Peritoneal metastases of unknown primary with hepatoid features.","authors":"Lakhdar Khellaf,&nbsp;Stéphanie Nougaret,&nbsp;Sébastien Carrère,&nbsp;Frédéric Bibeau","doi":"10.1515/pp-2022-0113","DOIUrl":"https://doi.org/10.1515/pp-2022-0113","url":null,"abstract":"A 59-year-old woman presented with isolated peritoneal metastases in the context of elevated serum AFP levels (Figure 1A and B). No primary tumour was found, notably from the liver, the gastrointestinal or gynecological tracts. A laparoscopic assessment reported a peritoneal cancer index (PCI) reaching 22/39 and biopsies performed disclosed hepatocellular carcinoma (HCC). A chemotherapy followed by Figure 1: Magnetic resonance imaging (MRI) of the liver and peritoneum (axial T2 weighted images). (A) Initial MRI: ill-defined T2 hyperintense nodule within the falciform ligament of the liver (arrow). (B) MRI at 3 months: Appearance of several peritoneal metastases (arrows). Note the absence of any parenchymal liver tumour in both images. (C) Histopathological analysis: hepatocellular carcinoma (asterisks) in the falciform ligament of the liver, representing the starting point of the peritoneal disease. Ectopic liver is circled in red (greater axis: 15 mm), with detectable steatosis (HES, ×6). Note the independent vasculo-biliary stalk, highlighted in the inset (HES, ×50). HES: hematoxylin-eosin-saffron.","PeriodicalId":20231,"journal":{"name":"Pleura and Peritoneum","volume":"7 3","pages":"157-158"},"PeriodicalIF":1.8,"publicationDate":"2022-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9467897/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33484287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Role of prophylactic HIPEC in non-metastatic, serosa-invasive gastric cancer: a literature review. 预防性HIPEC在非转移性浆膜浸润性胃癌中的作用:文献综述。
IF 1.8
Pleura and Peritoneum Pub Date : 2022-07-04 eCollection Date: 2022-09-01 DOI: 10.1515/pp-2022-0104
Aditya R Kunte, Aamir M Parray, Manish S Bhandare, Sohan Lal Solanki
{"title":"Role of prophylactic HIPEC in non-metastatic, serosa-invasive gastric cancer: a literature review.","authors":"Aditya R Kunte,&nbsp;Aamir M Parray,&nbsp;Manish S Bhandare,&nbsp;Sohan Lal Solanki","doi":"10.1515/pp-2022-0104","DOIUrl":"https://doi.org/10.1515/pp-2022-0104","url":null,"abstract":"<p><p>The role of prophylactic hyperthermic intraperitoneal chemotherapy (p-HIPEC) in serosa invasive gastric cancers without gross or microscopic peritoneal disease, to reduce the rate of peritoneal relapse is an area of ongoing research. Although p-HIPEC is effective in reducing the rate of peritoneal relapse and improving disease free and overall survival with or without adjuvant chemotherapy, when added to curative surgery in locally advanced, non-metastatic gastric cancers, the available literature is at best, heterogeneous, centre-specific and skewed. Apart from that, variations in the systemic therapy used, and the presence of the associated nodal disease further complicate this picture. To evaluate the role of p-HIPEC the PubMed, Cochrane central register of clinical trials, and the American Society of Clinical Oncology (ASCO) meeting library were searched with the search terms, \"gastric\", \"cancer\", \"hyperthermic\", \"intraperitoneal\", \"chemotherapy\", prophylactic\", \"HIPEC\" in various combinations, and a critical review of the available evidence was done. Although p-HIPEC is a promising therapy in the management of locally advanced gastric cancers, the current evidence is insufficient to recommend its inclusion into routine clinical practice. Future research should be directed towards identification of the appropriate patient subset and towards redefining its role with current peri-operative systemic therapies.</p>","PeriodicalId":20231,"journal":{"name":"Pleura and Peritoneum","volume":"7 3","pages":"103-115"},"PeriodicalIF":1.8,"publicationDate":"2022-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9467900/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33484284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pressurized intraperitoneal aerosol chemotherapy (PIPAC) in multimodal therapy for patients with oligometastatic peritoneal gastric cancer: a randomized multicenter phase III trial PIPAC VEROne. 加压腹腔内气溶胶化疗(PIPAC)在多模式治疗低转移性腹膜胃癌患者:一项随机多中心III期试验PIPAC VEROne
IF 1.8
Pleura and Peritoneum Pub Date : 2022-06-07 eCollection Date: 2022-09-01 DOI: 10.1515/pp-2022-0111
Francesco Casella, Maria Bencivenga, Riccardo Rosati, Uberto Romario Fumagalli, Daniele Marrelli, Fabio Pacelli, Antonio Macrì, Annibale Donini, Lorena Torroni, Michele Pavarana, Giovanni De Manzoni
{"title":"Pressurized intraperitoneal aerosol chemotherapy (PIPAC) in multimodal therapy for patients with oligometastatic peritoneal gastric cancer: a randomized multicenter phase III trial PIPAC VEROne.","authors":"Francesco Casella,&nbsp;Maria Bencivenga,&nbsp;Riccardo Rosati,&nbsp;Uberto Romario Fumagalli,&nbsp;Daniele Marrelli,&nbsp;Fabio Pacelli,&nbsp;Antonio Macrì,&nbsp;Annibale Donini,&nbsp;Lorena Torroni,&nbsp;Michele Pavarana,&nbsp;Giovanni De Manzoni","doi":"10.1515/pp-2022-0111","DOIUrl":"https://doi.org/10.1515/pp-2022-0111","url":null,"abstract":"<p><strong>Objectives: </strong>Peritoneal carcinomatosis is the most frequent site of metastases in patients with gastric cancer. Current standard treatment is palliative systemic chemotherapy with very poor prognosis. Cytoreductive surgery (CRS) combined with hyperthermic intraperitoneal chemotherapy (HIPEC) resulted in long-term benefits in selected patients. Among patients with peritoneal carcinomatosis, a distinctive subset is oligometastatic disease which is characterized by low metastatic burden. Pressurized intraperitoneal aerosol chemotherapy (PIPAC) is a recent technique of intraperitoneal chemotherapy used in combination with systemic chemotherapy with promising results.</p><p><strong>Methods: </strong>PIPAC VER-One is a prospective, randomized, multicenter phase III clinical trial that aims to evaluate the effectiveness of the use of PIPAC in combination with systemic chemotherapy in patients with gastric cancer and synchronous positive peritoneal cytology and/or limited peritoneal metastases (peritoneal cancer index [PCI] ≤6). Patients will be randomized into two arms: arm A (control) treated with standard systemic chemotherapy and arm B (experimental) treated with a bidirectional scheme including PIPAC and systemic chemotherapy.</p><p><strong>Results: </strong>Primary endpoint is the secondary resectability rate. Secondary endpoints are: overall survival (OS), pregression-free survival (PFS), disease-free survival (DFS), histological response assessed both on primary tumor and peritoneal lesions, quality of life (QoL), complication rate (CTCAE v5), and incremental cost-effectiveness ratios (ICER).</p><p><strong>Conclusions: </strong>The role of PIPAC in multimodal treatment for oligometastatic gastric cancer will be investigated in this trial.</p>","PeriodicalId":20231,"journal":{"name":"Pleura and Peritoneum","volume":"7 3","pages":"135-141"},"PeriodicalIF":1.8,"publicationDate":"2022-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9467896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33484288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Abdominal tissue concentrations and penetration of carboplatin in a HIPEC procedure ‒ assessment in a novel porcine model. 腹部组织浓度和卡铂在HIPEC过程中的渗透-在一种新型猪模型中的评估。
IF 1.8
Pleura and Peritoneum Pub Date : 2022-06-06 eCollection Date: 2022-09-01 DOI: 10.1515/pp-2022-0110
Elisabeth K Petersen, Mats Bue, Christina Harlev, Andrea R Jørgensen, Anne Schmedes, Pelle Hanberg, Lone K Petersen, Maiken Stilling
{"title":"Abdominal tissue concentrations and penetration of carboplatin in a HIPEC procedure ‒ assessment in a novel porcine model.","authors":"Elisabeth K Petersen,&nbsp;Mats Bue,&nbsp;Christina Harlev,&nbsp;Andrea R Jørgensen,&nbsp;Anne Schmedes,&nbsp;Pelle Hanberg,&nbsp;Lone K Petersen,&nbsp;Maiken Stilling","doi":"10.1515/pp-2022-0110","DOIUrl":"https://doi.org/10.1515/pp-2022-0110","url":null,"abstract":"<p><strong>Objectives: </strong>Peritoneal dissemination from intraabdominal cancers is associated with poor prognosis and rapid disease progression. Hyperthermic intraperitoneal chemotherapy (HIPEC) is an antineoplastic treatment, which has improved survival and recurrence-free survival, but little is known about the acquired chemotherapy concentrations in local tissues. The aim of this study was to assess concentrations of carboplatin during and after HIPEC treatment dynamically and simultaneously in various abdominal organ tissues by means of microdialysis in a novel porcine model.</p><p><strong>Methods: </strong>Eight pigs underwent imitation cytoreductive surgery followed by HIPEC (90 min) using a carboplatin dosage of 800 mg/m<sup>2</sup>. Microdialysis catheters were placed for sampling of drug concentrations in various solid tissues: peritoneum, liver, bladder wall, mesentery and in different depths of one mm and four mm in the hepatoduodenal ligament and rectum. During and after HIPEC, dialysates and blood samples were collected over 8 h.</p><p><strong>Results: </strong>No statistically significant differences in mean AUC<sub>0-last</sub> (range: 2,657-5,176 min·µg/mL), mean C<sub>max</sub> (range: 10.6-26.0 µg/mL) and mean T<sub>max</sub> (range: 105-206 min) were found between the compartments. In plasma there was a tendency towards lower measures. No difference between compartments was found for tissue penetration. At the last samples obtained (450 min) the mean carboplatin concentrations were 4.9-9.9 µg/mL across the investigated solid tissues.</p><p><strong>Conclusions: </strong>Equal carboplatin distribution in abdominal organ tissues, detectable concentrations for at least 6 h after HIPEC completion, and a carboplatin penetration depth of minimum four mm were found. The present study proposes a new HIPEC porcine model for future research.</p>","PeriodicalId":20231,"journal":{"name":"Pleura and Peritoneum","volume":"7 3","pages":"117-125"},"PeriodicalIF":1.8,"publicationDate":"2022-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9467902/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33484282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Frontmatter
IF 1.8
Pleura and Peritoneum Pub Date : 2022-06-01 DOI: 10.1515/pp-2022-frontmatter2
{"title":"Frontmatter","authors":"","doi":"10.1515/pp-2022-frontmatter2","DOIUrl":"https://doi.org/10.1515/pp-2022-frontmatter2","url":null,"abstract":"","PeriodicalId":20231,"journal":{"name":"Pleura and Peritoneum","volume":"25 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81486503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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