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Selektion zur Peritonektomie mit hyperthermer intraoperativer Chemotherapie (HIPEC) bei Peritonealkarzinose
- Source :
- Zentralblatt für Chirurgie. 133:468-472
- Publication Year :
- 2008
- Publisher :
- Georg Thieme Verlag KG, 2008.
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Abstract
- BACKGROUND: Cytoreductive peritonectomy with hyperthermic intraoperative chemotherapy (HIPEC) is an established therapy for patients with gastrointestinal, gynaecological metastasised peritoneal carcinomatosis as well as primary peritoneal carcinomatous tumours. METHODS: On the basis of a literature review and our personal experience, selection criteria for peritonectomy are discussed. RESULTS: Computed tomography (CT) scans and diagnostic laparoscopy are not sufficient for the diagnosis of peritoneal carcinomatosis. The combination of fluorodeoxyglucose positron emission tomography (FDG-PET) and CT seems to be the most reliable diagnostic imaging method. In our institution, all patients undergo PET / CT prior to peritonectomy. CONCLUSION: The PET / CT scan may play an important role in forecasting the operability of patients with peritoneal carcinomatosis.
Details
- ISSN :
- 14389592 and 0044409X
- Volume :
- 133
- Database :
- OpenAIRE
- Journal :
- Zentralblatt für Chirurgie
- Accession number :
- edsair.doi...........91bd21d75a9a3cc1feffa48a4245447d