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 HOW I DO IT
Year : 2016  |  Volume : 12  |  Issue : 1  |  Page : 86-89

Laparoscopic HIPEC: A bridge between open and closed-techniques


1 Department of General Surgery 1, Papa Giovanni XXIII Hospital, Bergamo, Italy
2 Advanced Surgical Oncology Unit, Papa Giovanni XXIII Hospital, Bergamo, Italy

Correspondence Address:
Marco Lotti
Advanced Surgical Oncology Unit, Papa Giovanni XXIII Hospital, Piazza OMS 1, Bergamo, 24127
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-9941.158965

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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.






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