ArticleAnnals of surgical oncology2026
Secondary Cytoreductive Surgery ± Hyperthermic Intraperitoneal Chemotherapy for Recurrent Colorectal Cancer Peritoneal Metastases.
Article in Annals of surgical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundMost patients who have colorectal cancer peritoneal metastases (CRC-PM) treated with cytoreductive surgery ± hyperthermic intraperitoneal chemotherapy (CRS±HIPEC) experience recurrence within 1 year. This study assessed the safety and oncologic value of secondary CRS±HIPEC for patients with CRC-PM.
methodsA multi-institutional database of patients treated for CRC-PM (2000-2024) was reviewed. Patients who underwent curative-intent initial CRS±HIPEC alone were compared with those who underwent secondary CRS±HIPEC for recurrent disease. Patients who received more than two procedures were excluded. The primary objective was to evaluate the safety of secondary CRS±HIPEC for CRC-PM as measured by perioperative outcomes. The secondary objective was to examine the association between overall survival (OS) and secondary CRS±HIPEC.
resultsThe study included 136 patients, 17 of whom underwent secondary CRS±HIPEC. There was no difference in postoperative complications between secondary and initial CRS±HIPEC. When OS was defined from the date of the index operation, secondary CRS±HIPEC was associated with improved OS versus initial CRS±HIPEC alone (51.0 months [95% confidence interval {CI}, 39.8-62.2 months] vs. 24.0 months [95 % CI, 19.4-28.6) months]). To assess the value of secondary CRS±HIPEC, OS was compared from the date of the second procedure for the secondary cohort. Overall survival measured after secondary CRS±HIPEC was similar to that after initial CRS±HIPEC (27.0 months [95 % CI, 17.3-36.7 months] vs. 24.0 months [95 % CI, 19.4-28.6 months]). Among the patients with recurrence after their index CRS±HIPEC, secondary CRS±HIPEC remained associated with better OS than that of those who received only one procedure (27.0 months [95 % CI, 17.3-36.7 months] vs. 12.0 months [95 % CI, 9.2-14.8 months]).
conclusionSecondary CRS±HIPEC should be considered for well-selected patients with CRC-PM recurrence.
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