Clinical application of perioperative continuous hyperthermic peritoneal perfusion chemotherapy for gastric cancer.
- Author:
Hai-jun DENG
1
;
Zhi-gang WEI
;
Li ZHEN
;
Guo-xin LI
;
Xiang-cheng UANG
;
San-hua QING
Author Information
- Publication Type:Journal Article
- MeSH: Adenocarcinoma, Mucinous; drug therapy; surgery; Adult; Aged; Antineoplastic Combined Chemotherapy Protocols; administration & dosage; Chemotherapy, Cancer, Regional Perfusion; methods; Female; Humans; Hyperthermia, Induced; Injections, Intraperitoneal; Intraoperative Period; Male; Middle Aged; Stomach Neoplasms; drug therapy; surgery; Treatment Outcome
- From: Journal of Southern Medical University 2009;29(2):295-297
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the clinical effect of intraoperative and early postoperative continuous hyperthermic pertioneal perfusion chemotherapy (CHPPC) for gastric cancer.
METHODSEight-five patients with gastric cancer were randomized into therapeutic group with perioperative CHPPC combined with intravenous chemotherapy (n=44) and control group with intravenous chemotherapy only (n=41). The postoperative complications, adverse effects, local recurrence rates, distant metastasis rates, and 1- and 3-year survival rates were compared between two groups.
RESULTSNo significant differences were found in the postoperative complications and adverse effects between the two groups. The recurrence rate and distant metastasis rates in the therapeutic group were significantly lower than those in the control group (20.45% vs 43.90%, and 15.90% vs 39.02%, P<0.05). The 1- and 3-year survival rates in the therapeutic group were significantly higher than those in the control group (90.90% vs 78.05%, and 59.09% vs 34.15%, P<0.05).
CONCLUSIONPerioperative CHPPC for gastric cancer is safe and feasible, and can reduce the recurrence rate, distant metastasis rate and improve the survival for gastric cancer patient after operation.
