Volume 131, Issue 2 pp. 310-315
REVIEW ARTICLE

Perfusion Strategies for Cytoreductive Surgery With Heated Intraperitoneal Chemotherapy for Malignant Peritoneal Mesothelioma

Claire Drigotas

Claire Drigotas

Division of Surgical Oncology, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA

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Alexander W. Loftus

Alexander W. Loftus

Department of Surgery, Division of Surgical Oncology, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA

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John B. Ammori

John B. Ammori

Department of Surgery, Division of Surgical Oncology, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA

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Luke D. Rothermel

Luke D. Rothermel

Department of Surgery, Division of Surgical Oncology, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA

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Richard S. Hoehn

Corresponding Author

Richard S. Hoehn

Department of Surgery, Division of Surgical Oncology, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA

Correspondence: Richard S. Hoehn ([email protected])

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First published: 10 September 2024
Citations: 2

Meeting presentations: Case Western Reserve University School of Medicine Graduate and Medical Student Research Day; Cleveland, OH (2023). University Hospitals Department of Surgical Research Day; Cleveland OH (2024).

ABSTRACT

Cytoreductive surgery (CRS) with heated intraoperative intraperitoneal chemotherapy (HIPEC) has been shown to improve survival for patients with malignant peritoneal mesothelioma (MPM). Presently, there is no standardized HIPEC protocol with respect to chemotherapeutic agent, dose, administration temperature, or duration and limited literature comparing outcomes in different regimens. In this study, we analyze common practices and outcomes of published HIPEC regimens to gain insight into current practice to inform future directions of study. We conducted a literature search for investigational studies of CRS and HIPEC for MPM treatment in adults and identified 35 such articles. These studies were analyzed for institution type and location, drug regimens, perfusion temperatures and time, and study outcomes including median survival, complication rates, and perioperative mortality rates. On review, there is significant heterogeneity in HIPEC regimens and outcome reporting metrics, suggesting a need for multi-institutional standardized study protocols to better determine the safest and most efficacious treatment regimen.

Data Availability Statement

Data sharing is not applicable to this article as no new data were created or analyzed in the study.

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