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澳大利亚背景下,晚期高级别浆液性卵巢癌、输卵管癌及腹膜癌患者在间歇性肿瘤细胞减灭术中进行腹腔热灌注化疗的安全性和可行性。

Safety and feasibility of hyperthermic intraperitoneal chemotherapy during interval cytoreductive surgery in patients with advanced high-grade serous ovarian, fallopian tube, peritoneal cancer in an Australian context.

作者信息

Samoylovich Arthur, Jennings Bronwyn, Shannon Catherine, Coward Jermaine I, Lourie Rohan, Riordan John, Lai Nai An, van Driel Willemien J, Cabraal Nimithri, Jagasia Nisha, Chetty Naven, Naidu Sanjeev, Perrin Lewis C, Barry Sinead C

机构信息

Faculty of Medicine, The University of Queensland, St Lucia, Queensland, Australia.

Gynaecological Oncology, Mater Health Services, South Brisbane, Queensland, Australia.

出版信息

Aust N Z J Obstet Gynaecol. 2023 Oct;63(5):702-708. doi: 10.1111/ajo.13694. Epub 2023 May 31.

Abstract

AIMS

To assess the safety and feasibility of hyperthermic intraperitoneal chemotherapy (HIPEC) during cytoreduction surgery (CRS) in advanced high-grade serous ovarian, fallopian tube and peritoneal cancer within an Australian context.

METHODS

Data were collected from 25 consecutive patients undergoing CRS and HIPEC from December 2018 to July 2022 at the Peritoneal Malignancy Service at the Mater Hospital Brisbane, Australia. Data collected included demographics, clinical variables, surgical procedures and complications and intra-operative and post-operative indexes of morbidity.

RESULTS

Twenty-five women who underwent CRS and HIPEC from December 2018 to July 2022 were included in analysis. Findings indicate that CRS with HIPEC is associated with low morbidity.

CONCLUSION

While judicious patient selection is imperative, HIPEC during CRS was well tolerated by all patients and morbidity was comparable to results from the previously reported OVHIPEC-1 trial. HIPEC appears to be a safe and feasible addition to CRS for the treatment of advanced ovarian cancer in Australian practice.

摘要

目的

在澳大利亚的背景下,评估晚期高级别浆液性卵巢癌、输卵管癌和腹膜癌进行肿瘤细胞减灭术(CRS)时腹腔内热灌注化疗(HIPEC)的安全性和可行性。

方法

收集了2018年12月至2022年7月在澳大利亚布里斯班圣母医院腹膜恶性肿瘤科连续接受CRS和HIPEC的25例患者的数据。收集的数据包括人口统计学、临床变量、手术操作和并发症以及术中及术后发病指标。

结果

分析纳入了2018年12月至2022年7月接受CRS和HIPEC的25名女性。结果表明,CRS联合HIPEC的发病率较低。

结论

虽然明智地选择患者至关重要,但所有患者对CRS期间的HIPEC耐受性良好,发病率与先前报道的OVHIPEC-1试验结果相当。在澳大利亚的实践中,HIPEC似乎是CRS治疗晚期卵巢癌安全可行的辅助手段。

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