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MCC 2011 - Slide 25
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MCC 2011 - Slide 25
1.
2.
3.
4.
5.
6.
7.
CT – “Colonic
mass : Possibility Inflammatory and Duodenal involvement”
8.
9.
Surgery – Abdominal
wall/Right hemi partial duodenal resection
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
Redistribution
22.
23.
24.
25.
26.
27.
28.
Traditional Results PMP
-1995 (WHC =Washingston, MSK= Memorial Sloan Kettering New York, Mayo Clinic Minneapolis USA) CRS + HIPEC
29.
* * *
* * * * * * * ** * * * * * * * * * * * * * * * * * * ** * * * * * ** * * * * * ** * * * * * * *** UK and Ireland National Referral centres for Pseudomyxoma Peritonei of Appendiceal origin since 2000 (pop 80 million) Basingstoke 2000
30.
Pseudomyxoma Peritonei
Complete Cytoreduction
31.
32.
33.
34.
Post –op mortality
1.4%
35.
36.
37.
38.
39.
40.
Survival Verwaal,Zoetmulder et
al RCT Systemic versus HIPEC 2003 Log Rank p = 0.0013 44% versus 24% at 2 years
41.
42.
43.
44.
45.
Glehan et al
Cancer PMP Gastric Appendix Colon
46.
Survival Complete CRS
plus HIPEC appendix colon
47.
What do we
know about colorectal carcinomatosis and HIPEC ?
48.
49.
50.
51.
52.
Thank you