A Proposal of a Practical and Optimal Prophylactic Strategy for Peritoneal Recurrence

Peritoneal metastasis, which often arises in patients with advanced gastric cancer, is well known as a miserable and ill-fated disease. Once peritoneal metastasis is formed, it is extremely difficult to defeat. We advocated EIPL (extensive intraoperative peritoneal lavage) as a useful and practical...

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Main Authors: Masafumi Kuramoto, Shinya Shimada, Satoshi Ikeshima, Akinobu Matsuo, Hiroshi Kuhara, Kojiro Eto, Hideo Baba
Format: Article
Language:English
Published: Hindawi Limited 2012-01-01
Series:Journal of Oncology
Online Access:http://dx.doi.org/10.1155/2012/340380
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spelling doaj-6d756b65184a4de1a787bfcb451b60072020-11-24T23:15:10ZengHindawi LimitedJournal of Oncology1687-84501687-84692012-01-01201210.1155/2012/340380340380A Proposal of a Practical and Optimal Prophylactic Strategy for Peritoneal RecurrenceMasafumi Kuramoto0Shinya Shimada1Satoshi Ikeshima2Akinobu Matsuo3Hiroshi Kuhara4Kojiro Eto5Hideo Baba6Department of Surgery, Yatsushiro Social Insurance General Hospital, 2-26 Matsuejo, Yatsushiro, Kumamoto 866-8660, JapanDepartment of Surgery, Yatsushiro Social Insurance General Hospital, 2-26 Matsuejo, Yatsushiro, Kumamoto 866-8660, JapanDepartment of Surgery, Yatsushiro Social Insurance General Hospital, 2-26 Matsuejo, Yatsushiro, Kumamoto 866-8660, JapanDepartment of Surgery, Yatsushiro Social Insurance General Hospital, 2-26 Matsuejo, Yatsushiro, Kumamoto 866-8660, JapanDepartment of Surgery, Yatsushiro Social Insurance General Hospital, 2-26 Matsuejo, Yatsushiro, Kumamoto 866-8660, JapanDepartment of Surgery, Yatsushiro Social Insurance General Hospital, 2-26 Matsuejo, Yatsushiro, Kumamoto 866-8660, JapanDepartment of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, Honjo 1-1-1, Kumamoto 860-8556, JapanPeritoneal metastasis, which often arises in patients with advanced gastric cancer, is well known as a miserable and ill-fated disease. Once peritoneal metastasis is formed, it is extremely difficult to defeat. We advocated EIPL (extensive intraoperative peritoneal lavage) as a useful and practical adjuvant surgical technique for those gastric cancer patients who are likely to suffer from peritoneal recurrence. In this paper, we review the effect of EIPL therapy on prevention of peritoneal recurrence on patients with peritoneal free cancer cells without overt peritoneal metastasis (CY+/P−) through the prospective randomized study, and we verified its potential as an optimal and standard prophylactic therapeutic strategy for peritoneal recurrence.http://dx.doi.org/10.1155/2012/340380
collection DOAJ
language English
format Article
sources DOAJ
author Masafumi Kuramoto
Shinya Shimada
Satoshi Ikeshima
Akinobu Matsuo
Hiroshi Kuhara
Kojiro Eto
Hideo Baba
spellingShingle Masafumi Kuramoto
Shinya Shimada
Satoshi Ikeshima
Akinobu Matsuo
Hiroshi Kuhara
Kojiro Eto
Hideo Baba
A Proposal of a Practical and Optimal Prophylactic Strategy for Peritoneal Recurrence
Journal of Oncology
author_facet Masafumi Kuramoto
Shinya Shimada
Satoshi Ikeshima
Akinobu Matsuo
Hiroshi Kuhara
Kojiro Eto
Hideo Baba
author_sort Masafumi Kuramoto
title A Proposal of a Practical and Optimal Prophylactic Strategy for Peritoneal Recurrence
title_short A Proposal of a Practical and Optimal Prophylactic Strategy for Peritoneal Recurrence
title_full A Proposal of a Practical and Optimal Prophylactic Strategy for Peritoneal Recurrence
title_fullStr A Proposal of a Practical and Optimal Prophylactic Strategy for Peritoneal Recurrence
title_full_unstemmed A Proposal of a Practical and Optimal Prophylactic Strategy for Peritoneal Recurrence
title_sort proposal of a practical and optimal prophylactic strategy for peritoneal recurrence
publisher Hindawi Limited
series Journal of Oncology
issn 1687-8450
1687-8469
publishDate 2012-01-01
description Peritoneal metastasis, which often arises in patients with advanced gastric cancer, is well known as a miserable and ill-fated disease. Once peritoneal metastasis is formed, it is extremely difficult to defeat. We advocated EIPL (extensive intraoperative peritoneal lavage) as a useful and practical adjuvant surgical technique for those gastric cancer patients who are likely to suffer from peritoneal recurrence. In this paper, we review the effect of EIPL therapy on prevention of peritoneal recurrence on patients with peritoneal free cancer cells without overt peritoneal metastasis (CY+/P−) through the prospective randomized study, and we verified its potential as an optimal and standard prophylactic therapeutic strategy for peritoneal recurrence.
url http://dx.doi.org/10.1155/2012/340380
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