2016
DOI: 10.1111/1754-9485.12456
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Proposed radiological criteria for pre‐operative determination of resectability in peritoneal‐based malignancies

Abstract: With our proposed criteria, and scoring system, the selection of patients for CRS and HIPEC can be improved, and unnecessary exploratory operations avoided.

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Cited by 8 publications
(5 citation statements)
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References 19 publications
(43 reference statements)
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“…We compiled a list of unfavourable sites based on the experience of our surgeons who see involvement at these sites lead to increased surgical complexity or inability to achieve complete cytoreduction. This was similar to radiological criteria proposed by Tan et al 24 for resectability of peritoneal malignancy in general, the exception being the omental cake, which we did not include in our list as an unfavourable finding, since the greater omentum BJR Full paper: Peritoneal mesothelioma: predictors of complete cytoreduction can be easily removed at surgery. We also quantified the volume of upper abdominal disease by adding the rPCI scores of the upper abdominal sites (site1 + site2 + site3).…”
Section: Malignant Mesotheliomasupporting
confidence: 68%
“…We compiled a list of unfavourable sites based on the experience of our surgeons who see involvement at these sites lead to increased surgical complexity or inability to achieve complete cytoreduction. This was similar to radiological criteria proposed by Tan et al 24 for resectability of peritoneal malignancy in general, the exception being the omental cake, which we did not include in our list as an unfavourable finding, since the greater omentum BJR Full paper: Peritoneal mesothelioma: predictors of complete cytoreduction can be easily removed at surgery. We also quantified the volume of upper abdominal disease by adding the rPCI scores of the upper abdominal sites (site1 + site2 + site3).…”
Section: Malignant Mesotheliomasupporting
confidence: 68%
“…Computed tomography prognostic risk factors for unresectable disease (CT risks) were defined according to the previous study as follows [ 14 ]: the presence of small bowel serosal or mesenteric disease, gross ascites, presence of a peritoneal lesion measuring > 5 cm, omental cake, small or large bowel obstruction, peri-hepatic nodules, ureteric obstruction, and biliary obstruction. The surgeon routinely assessed the peritoneal cancer index (PCI) score at the beginning, and the completeness of cytoreduction (CCR) degree at the end of CRS-HIPEC procedure as Sugarbaker described [ 15 ].…”
Section: Methodsmentioning
confidence: 99%
“…The presence of disease in certain locations is associated with a worse prognosis due to the reduced likelihood of achieving optimal CRS. These locations are the small bowel and/or its mesentery, the porta hepatis and hepatoduodenal ligament, ureteric encasement, and biliary obstruction [ 26 ]. Such observations led to the study and development of radiologic scores to predict the resectability of the disease.…”
Section: Review Sectionsmentioning
confidence: 99%