Title: Evolution of cytoreductive surgery and perioperative intraperitoneal chemotherapy for peritoneal carcinomatosis: are there treatment alternatives?
Abstract: I read with great interest the article by Chua et al 1 Chua TC, Liauw W, Saxena A, et al. Evolution of loco-regional treatment for peritoneal carcinomatosis: single-centre experience of 308 procedures of cytoreductive surgery and perioperative intraperitoneal chemotherapy. Am J Surg (in press). Google Scholar from Sydney, Australia. Especially pertinent was the title of the publication, “Evolution of locoregional treatment for peritoneal carcinomatosis (PC): single-center experience of 308 procedures of cytoreductive surgery (CRS) and perioperative intraperitoneal chemotherapy (PIC).” The title is appropriate and the text is true to this title. The development of a new treatment strategy in surgery by evolution has been our most productive methodology. Glasziou et al 2 Glasziou P. Chalmers I. Rawlins M. et al. When are randomised trials unnecessary? Picking signal from noise. BMJ. 2007; 334: 349-351 Crossref PubMed Google Scholar recognized this fact when they suggested that clinical trials are not always necessary for a new medical technology to be recognized as a standard of care. Quite rightly, Chua et al 1 Chua TC, Liauw W, Saxena A, et al. Evolution of loco-regional treatment for peritoneal carcinomatosis: single-centre experience of 308 procedures of cytoreductive surgery and perioperative intraperitoneal chemotherapy. Am J Surg (in press). Google Scholar call attention to this fact in their introduction where they discuss the multidisciplinary standard of care for liver metastases from colorectal cancer. Also, the extensive experience in Australia regarding metastasectomy for management of metastatic melanoma was presented. 1 Chua TC, Liauw W, Saxena A, et al. Evolution of loco-regional treatment for peritoneal carcinomatosis: single-centre experience of 308 procedures of cytoreductive surgery and perioperative intraperitoneal chemotherapy. Am J Surg (in press). Google Scholar
Publication Year: 2010
Publication Date: 2010-09-28
Language: en
Type: letter
Indexed In: ['crossref', 'pubmed']
Access and Citation
Cited By Count: 20
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