The Fifth International Workshop on peritoneal surface malignancy (Milan, Italy, December 4-6, 2006): Methodology of disease-specific consensus

Dario Baratti, Shigeki Kusamura, Marcello Deraco

Research output: Contribution to journalArticle

Abstract

Peritoneal surface malignancies (PSM) have been traditionally regarded as uniformly terminal conditions. The combination of cyto-reductive surgery and perioperative intraperitoneal chemotherapy has changed PSM management from palliation to possible cure. Due to the inherent differences in biological and clinical behavior, the optimal adaptation of comprehensive treatment to each PSM is still a matter of debate. A session of "The Fifth International Workshop on Peritoneal Surface Malignancy" (Milan, Italy, December 4-6, 2006) was committed to reach a consensus pertaining to conceptual and technical aspects of the loco-regional treatment of each PSM. The consensus developing process was based on principles of the Delphi method. A total of 103 international experts from 17 countries were included in six Working Groups (WG) for each of the following PSM: peritoneal mesothelioma, abdominal sarcomatosis, carcinomatosis of gastric, colo-rectal, appendiceal, and ovarian origin. Evidence reports were written by the respective WG. The main conflicting points (CP) regarding preoperative evaluation, patient eligibility, combined treatment methodology, postoperative follow-up and future investigational perspectives were summarized as a list of multiple-choice questions. Overall, 160 CP were identified. A consensus ≥51% of voters favoring one option was reached in 143/160 CP (89.4%). The general treatment guidelines and future investigational perspectives were defined.

Original languageEnglish
Pages (from-to)258-262
Number of pages5
JournalJournal of Surgical Oncology
Volume98
Issue number4
DOIs
Publication statusPublished - Sep 15 2008

Keywords

  • Consensus
  • Cytoreductive surgery
  • HIPEC
  • Hyperthermic intraperitoneal chemotherapy
  • Peritoneal surface malignancies

ASJC Scopus subject areas

  • Surgery
  • Oncology

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