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International Journal of Surgical Oncology
Volume 2015, Article ID 610597, 6 pages
http://dx.doi.org/10.1155/2015/610597
Research Article

Peritoneal Carcinomatosis: Intraoperative Parameters in Open (Coliseum) versus Closed Abdomen Hipec

11st Department of Surgical Oncology, Metaxa Cancer Hospital, 18537 Piraeus, Greece
2Peritoneal Surface Malignancy Unit, IASO General Hospital, 15562 Athens, Greece
3Department of Anesthesiology, Metaxa Cancer Hospital, 18537 Piraeus, Greece
4Department of Anesthesiology, Gennimatas General Hospital, 54635 Thessaloniki, Greece
5Department of Surgery, General Hospital of Messolonghi, 30200 Messolonghi, Greece

Received 27 September 2014; Revised 25 December 2014; Accepted 16 January 2015

Academic Editor: Edward W. Martin

Copyright © 2015 E. Halkia et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Peritoneal carcinomatosis (PC) is associated with a poor prognosis. Cytoreductive surgery (CRS) and HIPEC play an important role in well-selected patients with PC. The aim of the study is to present the differences in the intraoperative parameters in patients who received HIPEC in two different manners, open versus closed abdomen. Patients and Methods. The population includes 105 patients with peritoneal carcinomatosis from colorectal, gastric, and ovarian cancer, sarcoma, mesothelioma, and pseudomyxoma peritonei. Group A received HIPEC using the open technique and Group B received HIPEC with the closed technique. The main end points were morbidity, mortality, and overall hospital stay. Results. There were two postoperative deaths (3.3%) in the open group versus no deaths in the closed group. Twenty-two patients in the open group (55%) had grade III-IV complications versus 18 patients in the closed group (40%). There are more stable intraoperative conditions in the closed abdomen HIPEC in CVP, pulse rate, and systolic pressure parameters. Conclusions. Both methods are equal in the HIPEC procedures. Perhaps the closed method is the method of choice for frail patients due to more stable hemodynamic parameters.