Evidence map›Paper›PMID 20336386›Full record

ArticleAnnals of surgical oncology2010

Peritoneal carcinomatosis from gastric cancer: a multi-institutional study of 159 patients treated by cytoreductive surgery combined with perioperative intraperitoneal chemotherapy.

Olivier Glehen, François Noel Gilly, Catherine Arvieux, Eddy Cotte, Florent Boutitie, Baudouin Mansvelt, Jean Marc Bereder, Gérard Lorimier, François Quenet, Dominique Elias and 1 more

3 registry-linked trialsAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Annals of surgical oncology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 225 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
225citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03150628 phase2terminatednot on this mapstarted 2017, after this paper: background citation

Cytoreductive Surgery and Intraperitoneal Chemotherapy for Stomach CAncer: a Feasibility Study

TypeinterventionalSponsorRichard van HillegersbergRan2017 to 2018Enrolled3ConditionsGastric Cancer, Peritoneal Carcinomatosis, HIPECArmsPerioperative chemotherapy, Cytoreduction, HIPEC
NCT03517852 nacompletednot on this mapstarted 2018, after this paper: background citation

Intravital Microscopy (IVM) in Patients With Peritoneal Carcinomatosis (PC)

TypeinterventionalSponsorMayo ClinicRan2018 to 2023Enrolled30ConditionsPeritoneal CarcinomatosisArmsHuman Intravital Microscopy
NCT03823144 narecruitingnot on this mapstarted 2019, after this paper: background citation

Intravital Microscopy (IVM) in Human Solid Tumors

TypeinterventionalSponsorMayo ClinicRan2019 to 2027Enrolled85ConditionsSolid Tumor, Adult, Clinical Stage IV Gastric Cancer AJCC v8, Malignant Solid Neoplasm, Metastatic Colorectal CarcinomaArmsDiagnostic Microscopy, Fluorescein Sodium Injection
3 · Its place in the literature

Who cites it

225 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Adjuvant intraperitoneal chemotherapy for the treatment of colorectal cancer at risk for peritoneal carcinomatosis: a systematic review.International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group · 2018
    Pooled it
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  7. Trial
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  14. Role of surgery in metastatic gastric cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  15. Review
  16. Article
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165 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Olivier GlehenDepartement de Chirurgie Generale, Thoracique et Endocrinienne, Centre Hospitalier Lyon-Sud, Pierre Bénite Cedex, France. olivier.glehen@chu-lyon.fr
François Noel Gilly
Catherine Arvieux
Eddy Cotte
Florent Boutitie
Baudouin Mansvelt
Jean Marc Bereder
Gérard Lorimier
François Quenet
Dominique Elias
Association Française de Chirurgie

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeritoneal carcinomatosis (PC) from gastric cancer has long been regarded a terminal disease with a short median survival. New locoregional therapeutic approaches combining cytoreductive surgery with perioperative intraperitoneal chemotherapy (PIC) have evolved and suggest improved survival. MATERIALS AND

methodsA retrospective multicentric study was performed in French-speaking centers to evaluate the toxicity and the principal prognostic factors in order to identify the best indications. All patients had cytoreductive surgery and PIC: hyperthermic intraperitoneal chemotherapy (HIPEC) and/or early postoperative intraperitoneal chemotherapy (EPIC).

resultsThe study included 159 patients from 15 institutions between February 1989 and August 2007. The median follow-up was 20.4 months. HIPEC was the PIC used for 150 procedures. Postoperative mortality and grade 3-4 morbidity rates were 6.5 and 27.8%, respectively. By multivariate analysis, the institution had a significant influence on toxicity. The overall median survival was 9.2 months and 1-, 3-, and 5-year survival rates were 43, 18, and 13%, respectively. The only independent prognostic indicator by multivariate analysis was the completeness of cytoreductive surgery. For patients treated by complete cytoreductive surgery, the median survival was 15 months with a 1-, 3-, and 5-year survival rate of 61, 30, and 23%, respectively.

conclusionsThe therapeutic approach combining cytoreductive surgery with PIC for patients with gastric carcinomatosis may achieve long-term survival in a selected group of patients (limited and resectable PC). The high mortality rate underlines this necessarily strict selection that should be reserved to experienced institutions involved in the management of PC and gastric surgery.

Indexed as

GastrectomyAntineoplastic Combined Chemotherapy ProtocolsCarcinomaChemotherapy, AdjuvantCombined Modality TherapyFemaleHumansHyperthermia, InducedInjections, IntraperitonealMaleMiddle AgedPerioperative CarePeritoneal NeoplasmsRetrospective StudiesStomach NeoplasmsSurvival Rate

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.