LAPAROSCOPIC CYTOREDUCTIVE SURGERY WITH HYPERTHERMIC INTRAPERITONEAL CHEMOPERFUSION IN GASTRIC CANCER
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.34635/rpc.987 |
Resumo: | Peritoneal metastasis from gastric cancer represents advanced disease with poor prognosis. Cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemoperfusion (HIPEC) has shown survival benefit in some malignancies, but its role in the treatment of gastric cancer peritoneal metastasis is not completely elucidated. CRS-HIPEC at the time of potentially curative gastrectomy seems to add survival benefit, especially in patients with positive cytology. Laparoscopic CRS-HIPEC (L-CRS-HIPEC) has been investigated as a less invasive treatment option in patients with gastric cancer with limited peritoneal carcinomatosis or positive peritoneal cytology. We aim to present a case of a 61-year-old woman with a gastric adenocarcinoma from the lesser curvature, with a positive cytology for tumor cells. The patient initiated chemotherapy with FOLFOX and the re-staging CT scan showed no sign of distant metastasis. |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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7160 |
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LAPAROSCOPIC CYTOREDUCTIVE SURGERY WITH HYPERTHERMIC INTRAPERITONEAL CHEMOPERFUSION IN GASTRIC CANCERVideo: CIRURGIA DE CITORREDUÇÃO COM QUIMIOTERAPIA HIPERTÉRMICA INTRA-PERITONEAL NO CANCRO GÁSTRICO POR LAPAROSCOPIAPeritoneal metastasis from gastric cancer represents advanced disease with poor prognosis. Cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemoperfusion (HIPEC) has shown survival benefit in some malignancies, but its role in the treatment of gastric cancer peritoneal metastasis is not completely elucidated. CRS-HIPEC at the time of potentially curative gastrectomy seems to add survival benefit, especially in patients with positive cytology. Laparoscopic CRS-HIPEC (L-CRS-HIPEC) has been investigated as a less invasive treatment option in patients with gastric cancer with limited peritoneal carcinomatosis or positive peritoneal cytology. We aim to present a case of a 61-year-old woman with a gastric adenocarcinoma from the lesser curvature, with a positive cytology for tumor cells. The patient initiated chemotherapy with FOLFOX and the re-staging CT scan showed no sign of distant metastasis.Carcinomatose peritoneal no cancro gástrico representa doença disseminada com um mau prognóstico. A Cirurgia de Citorredução (CRS) com Quimioterapia Hipertérmica Intra-peritoneal (HIPEC) mostrou benefício na sobrevida dos doentes em algumas neoplasias, mas o seu papel na carcinomatose peritoneal por cancro gástrico não está completamente esclarecido. CRS-HIPEC realizado aquando de uma gastrectomia potencialmente curativa parece aumentar a sobrevida, especialmente em doentes com citologia positiva. CRS-HIPEC por via laparoscópica (L-CRS-HIPEC) tem sido proposto como uma opção de tratamento menos invasiva em doentes com carcinomatose peritoneal limitada ou citologia peritoneal positiva. Apresentamos um caso uma doente do sexo feminino com um adenocarcinoma da pequena curvatura gástrica com citologia positiva para células neoplásicas. Foi submetida a quimioterapia neoadjuvante com FOLFOX e o TC de re-estadiamento não mostrou sinais de metastização à distância.Sociedade Portuguesa de Cirurgia2023-06-23info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.34635/rpc.987https://doi.org/10.34635/rpc.987Revista Portuguesa de Cirurgia; No 55 (2023): June; 67-69Revista Portuguesa de Cirurgia; No 55 (2023): June; 67-692183-11651646-6918reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://revista.spcir.com/index.php/spcir/article/view/987https://revista.spcir.com/index.php/spcir/article/view/987/685https://revista.spcir.com/index.php/spcir/article/view/987/686Copyright (c) 2023 Revista Portuguesa de Cirurgiainfo:eu-repo/semantics/openAccessNOGUEIRO, JorgeARAL, MarisaOLIVEIRA, AnaSANTOS-SOUSA, HugoFERNANDES, CristinaGONÇALVES, FredericaGOUVEIA, AntónioGRAÇA, LuísBARBOSA, Elisabete2024-03-14T22:04:46Zoai:revista.spcir.com:article/987Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T04:00:43.155368Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
LAPAROSCOPIC CYTOREDUCTIVE SURGERY WITH HYPERTHERMIC INTRAPERITONEAL CHEMOPERFUSION IN GASTRIC CANCER Video: CIRURGIA DE CITORREDUÇÃO COM QUIMIOTERAPIA HIPERTÉRMICA INTRA-PERITONEAL NO CANCRO GÁSTRICO POR LAPAROSCOPIA |
title |
LAPAROSCOPIC CYTOREDUCTIVE SURGERY WITH HYPERTHERMIC INTRAPERITONEAL CHEMOPERFUSION IN GASTRIC CANCER |
spellingShingle |
LAPAROSCOPIC CYTOREDUCTIVE SURGERY WITH HYPERTHERMIC INTRAPERITONEAL CHEMOPERFUSION IN GASTRIC CANCER NOGUEIRO, Jorge |
title_short |
LAPAROSCOPIC CYTOREDUCTIVE SURGERY WITH HYPERTHERMIC INTRAPERITONEAL CHEMOPERFUSION IN GASTRIC CANCER |
title_full |
LAPAROSCOPIC CYTOREDUCTIVE SURGERY WITH HYPERTHERMIC INTRAPERITONEAL CHEMOPERFUSION IN GASTRIC CANCER |
title_fullStr |
LAPAROSCOPIC CYTOREDUCTIVE SURGERY WITH HYPERTHERMIC INTRAPERITONEAL CHEMOPERFUSION IN GASTRIC CANCER |
title_full_unstemmed |
LAPAROSCOPIC CYTOREDUCTIVE SURGERY WITH HYPERTHERMIC INTRAPERITONEAL CHEMOPERFUSION IN GASTRIC CANCER |
title_sort |
LAPAROSCOPIC CYTOREDUCTIVE SURGERY WITH HYPERTHERMIC INTRAPERITONEAL CHEMOPERFUSION IN GASTRIC CANCER |
author |
NOGUEIRO, Jorge |
author_facet |
NOGUEIRO, Jorge ARAL, Marisa OLIVEIRA, Ana SANTOS-SOUSA, Hugo FERNANDES, Cristina GONÇALVES, Frederica GOUVEIA, António GRAÇA, Luís BARBOSA, Elisabete |
author_role |
author |
author2 |
ARAL, Marisa OLIVEIRA, Ana SANTOS-SOUSA, Hugo FERNANDES, Cristina GONÇALVES, Frederica GOUVEIA, António GRAÇA, Luís BARBOSA, Elisabete |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
NOGUEIRO, Jorge ARAL, Marisa OLIVEIRA, Ana SANTOS-SOUSA, Hugo FERNANDES, Cristina GONÇALVES, Frederica GOUVEIA, António GRAÇA, Luís BARBOSA, Elisabete |
description |
Peritoneal metastasis from gastric cancer represents advanced disease with poor prognosis. Cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemoperfusion (HIPEC) has shown survival benefit in some malignancies, but its role in the treatment of gastric cancer peritoneal metastasis is not completely elucidated. CRS-HIPEC at the time of potentially curative gastrectomy seems to add survival benefit, especially in patients with positive cytology. Laparoscopic CRS-HIPEC (L-CRS-HIPEC) has been investigated as a less invasive treatment option in patients with gastric cancer with limited peritoneal carcinomatosis or positive peritoneal cytology. We aim to present a case of a 61-year-old woman with a gastric adenocarcinoma from the lesser curvature, with a positive cytology for tumor cells. The patient initiated chemotherapy with FOLFOX and the re-staging CT scan showed no sign of distant metastasis. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-06-23 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.34635/rpc.987 https://doi.org/10.34635/rpc.987 |
url |
https://doi.org/10.34635/rpc.987 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://revista.spcir.com/index.php/spcir/article/view/987 https://revista.spcir.com/index.php/spcir/article/view/987/685 https://revista.spcir.com/index.php/spcir/article/view/987/686 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2023 Revista Portuguesa de Cirurgia info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2023 Revista Portuguesa de Cirurgia |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Cirurgia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Cirurgia |
dc.source.none.fl_str_mv |
Revista Portuguesa de Cirurgia; No 55 (2023): June; 67-69 Revista Portuguesa de Cirurgia; No 55 (2023): June; 67-69 2183-1165 1646-6918 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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