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Chinese Journal of Colorectal Diseases(Electronic Edition) ›› 2015, Vol. 04 ›› Issue (03): 234-239. doi: 10.3877/cma.j.issn.2095-3224.2015.03.

Special Issue:

• Forum for Expert • Previous Articles     Next Articles

Cytoreductive surgery combined with hyperthermic intraperitoneal chemotherapy(CRS/HIPEC), whether or not a right breakthrough direction on the peritoneal metastasis of colorectal cancer

Li-feng SUN1, Zhou TONG1, Ke-feng DING1,()   

  1. 1. Department of Surgical Oncology, The Second Affiliated Hospital, Zhejiang University, Hangzhou 310009, China
  • Received:2015-04-10 Online:2015-06-25 Published:2015-06-25
  • Contact: Ke-feng DING
  • About author:
    Corresponding author: DING Ke-feng, Email:

Abstract:

Peritoneal carcinomatosis(PC)is the second most common presentation of colorectal cancer distant metastasis.Despite remarkable advances in cytotoxic chemotherapy and targeted therapy for colorectal cancer recently, it has been shown that these therapies remain ineffective for colorectal cancer PC.There have beensome reports that cytoreductive surgery combined with hyperthermic intraperitoneal chemotherapy(CRS/HIPEC)improved the overall survival of colorectalcancer PC patients.Here, we reviewed the clinical presentation, the mechanisms of disease progression and current treatment options for colorectal cancer PC, with a focus on the benefits and limitations of CRS/HIPEC.Moreover, we collected the patients with colorectal cancer PC treated by CRS/HIPEC in our colorectal cancer center, and showed that morbidity and mortality of CRS/HIPEC is relatively low, and short-term quality of life may improve.In conclusion, CRS/HIPEC treatment modality has demonstrated short-term efficacy and security in colorectal cancer PC.

Key words: Colorectal neoplasms, Peritoneum, Neoplasm metastasis, Cytoreductive surgery, Hyperthmic intreperitoneal chemotherapy

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