Laparoscopic HIPEC: A bridge between open and closed-techniques

• Main Authors: Marco Lotti, Michela Giulii Capponi, Dario Piazzalunga, Elia Poiasina, Michele Pisano, Roberto Manfredi, Luca Ansaloni
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2016-01-01
• Series: Journal of Minimal Access Surgery
• Subjects: Cytoreductive surgery; HIPEC; hyperthermic intraperitoneal chemotherapy; peritoneal carcinomatosis; peritoneal surface malignancy
• Online Access: http://www.journalofmas.com/article.asp?issn=0972-9941;year=2016;volume=12;issue=1;spage=86;epage=89;aulast=Lotti

Hyperthermic intraperitoneal chemotherapy (HIPEC) is currently delivered after cytoreductive surgery in patients with several kinds of peritoneal surface malignancies. Different methods for delivering HIPEC have been proposed all of them being variations between two modalities: the open technique and the closed technique. The open technique assures optimal distribution of heat and cytotoxic solution, with the disadvantage of heat loss and leakage of cytotoxic drugs. The closed technique prevents heat loss and drug spillage, increases drug penetration, but does not warrant homogeneous distribution of the perfusion fluid. A novel procedure that combines the advantages of the two techniques by means of laparoscopy is herein presented.