Multicentre study of laparoscopic or open assessment of the peritoneal cancer index (BIG-RENAPE) - Archive ouverte HAL Accéder directement au contenu
Article Dans Une Revue British Journal of Surgery Année : 2018

Multicentre study of laparoscopic or open assessment of the peritoneal cancer index (BIG-RENAPE)

(1, 2) , (3) , (4) , (5) , , (6, 7) , (8) , (2) , (1, 2)
1
2
3
4
5
6
7
8

Résumé

BackgroundThe peritoneal cancer index (PCI) is a comparative prognostic factor for colorectal peritoneal metastasis (CRPM). The ability of laparoscopy to determine the PCI in consideration of cytoreductive surgery remains undetermined, and this study was designed to compare it with laparotomy. MethodsA prospective multicentre study was conducted for patients with no known CRPM, but at risk of peritoneal disease. Surgery began with laparoscopic exploration followed by open exploration to determine the PCI. Concordance between laparoscopic and open assessment was evaluated for the diagnosis of CRPM and for the PCI. ResultsAmong 50 patients evaluated, CRPM recurrence was found in 29 (58 per cent) and 34 (68 per cent) at laparoscopic and open surgery respectively. Laparoscopy was feasible in 88 per cent (44 of 50) and deemed satisfactory by the surgeon in 52 per cent (26 of 50). Among the 25 evaluable patients with satisfactory laparoscopy, there was concordance of 96 per cent (24 of 25 patients) and 38 per cent (10 of 25) for laparoscopic and open assessment of CRPM and the PCI respectively. Where there were discrepancies, it was laparoscopy that underestimated the PCI. ConclusionLaparoscopy may underestimate the extent of CRPM. Underestimated by laparoscopy
Fichier non déposé

Dates et versions

hal-03596415 , version 1 (03-03-2022)

Identifiants

Citer

G. Passot, F. Dumont, D. Goere, C. Arvieux, P. Rousset, et al.. Multicentre study of laparoscopic or open assessment of the peritoneal cancer index (BIG-RENAPE). British Journal of Surgery, 2018, 105 (6, SI), pp.663-667. ⟨10.1002/bjs.10723⟩. ⟨hal-03596415⟩
9 Consultations
0 Téléchargements

Altmetric

Partager

Gmail Facebook Twitter LinkedIn More