Advances in the Treatment of Colorectal Cancer with Peritoneal Metastases: A Focus on Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy

In stage IV colorectal cancer (CRC), peritoneal metastasis is associated with a poor prognosis. Hyperthermic intraperitoneal chemotherapy (HIPEC) after cytoreductive surgery (CRS) is an effective treatment option that offers survival benefi...

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Main Authors: Youngbae Jeon, Eun Jung Park
Format: Article
Language:English
Published: Ewha Womans University College of Medicine 2023-12-01
Series:The Ewha Medical Journal
Subjects:
Online Access:http://www.e-emj.org/archive/view_article?pid=emj-46-s1-27
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author Youngbae Jeon
Eun Jung Park
author_facet Youngbae Jeon
Eun Jung Park
author_sort Youngbae Jeon
collection DOAJ
description In stage IV colorectal cancer (CRC), peritoneal metastasis is associated with a poor prognosis. Hyperthermic intraperitoneal chemotherapy (HIPEC) after cytoreductive surgery (CRS) is an effective treatment option that offers survival benefits in patients with peritoneal metastatic CRC. For over the past several decades, a multitude of studies have been conducted on CRS and HIPEC for peritoneal metastatic diseases, and research in this area is ongoing. Proper patient selection and a meticulous preoperative assessment are crucial for achieving successful postoperative outcomes. The completeness of cytoreduction and the surgical techniques employed are key factors in improving oncologic outcomes following CRS and HIPEC. The role of HIPEC for both therapeutic and prophylactic purposes is currently being evaluated in recent clinical trials. This article reviews the fundamental principles of CRS combined with HIPEC and discusses recent clinical trials concerning the treatment of CRS and HIPEC in CRC patients with peritoneal carcinomatosis.
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publisher Ewha Womans University College of Medicine
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spelling doaj-art-3a36271f6ee049f8a7cf0a66b0a4a6052025-08-20T02:38:17ZengEwha Womans University College of MedicineThe Ewha Medical Journal2234-25912023-12-0146s110.12771/emj.2023.e27emj-46-s1-27Advances in the Treatment of Colorectal Cancer with Peritoneal Metastases: A Focus on Cytoreductive Surgery and Hyperthermic Intraperitoneal ChemotherapyYoungbae JeonEun Jung ParkIn stage IV colorectal cancer (CRC), peritoneal metastasis is associated with a poor prognosis. Hyperthermic intraperitoneal chemotherapy (HIPEC) after cytoreductive surgery (CRS) is an effective treatment option that offers survival benefits in patients with peritoneal metastatic CRC. For over the past several decades, a multitude of studies have been conducted on CRS and HIPEC for peritoneal metastatic diseases, and research in this area is ongoing. Proper patient selection and a meticulous preoperative assessment are crucial for achieving successful postoperative outcomes. The completeness of cytoreduction and the surgical techniques employed are key factors in improving oncologic outcomes following CRS and HIPEC. The role of HIPEC for both therapeutic and prophylactic purposes is currently being evaluated in recent clinical trials. This article reviews the fundamental principles of CRS combined with HIPEC and discusses recent clinical trials concerning the treatment of CRS and HIPEC in CRC patients with peritoneal carcinomatosis.http://www.e-emj.org/archive/view_article?pid=emj-46-s1-27colorectal neoplasmsperitoneal neoplasmshyperthermic intraperitoneal chemotherapycytoreduction surgical procedureshyperthermic intraperitoneal chemotherapy (hipec)
spellingShingle Youngbae Jeon
Eun Jung Park
Advances in the Treatment of Colorectal Cancer with Peritoneal Metastases: A Focus on Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy
The Ewha Medical Journal
colorectal neoplasms
peritoneal neoplasms
hyperthermic intraperitoneal chemotherapy
cytoreduction surgical procedures
hyperthermic intraperitoneal chemotherapy (hipec)
title Advances in the Treatment of Colorectal Cancer with Peritoneal Metastases: A Focus on Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy
title_full Advances in the Treatment of Colorectal Cancer with Peritoneal Metastases: A Focus on Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy
title_fullStr Advances in the Treatment of Colorectal Cancer with Peritoneal Metastases: A Focus on Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy
title_full_unstemmed Advances in the Treatment of Colorectal Cancer with Peritoneal Metastases: A Focus on Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy
title_short Advances in the Treatment of Colorectal Cancer with Peritoneal Metastases: A Focus on Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy
title_sort advances in the treatment of colorectal cancer with peritoneal metastases a focus on cytoreductive surgery and hyperthermic intraperitoneal chemotherapy
topic colorectal neoplasms
peritoneal neoplasms
hyperthermic intraperitoneal chemotherapy
cytoreduction surgical procedures
hyperthermic intraperitoneal chemotherapy (hipec)
url http://www.e-emj.org/archive/view_article?pid=emj-46-s1-27
work_keys_str_mv AT youngbaejeon advancesinthetreatmentofcolorectalcancerwithperitonealmetastasesafocusoncytoreductivesurgeryandhyperthermicintraperitonealchemotherapy
AT eunjungpark advancesinthetreatmentofcolorectalcancerwithperitonealmetastasesafocusoncytoreductivesurgeryandhyperthermicintraperitonealchemotherapy