Cytoreductive Surgery plus Hyperthermic Intraperitoneal Chemotherapy with Lobaplatin and Docetaxel to Treat Synchronous Peritoneal Carcinomatosis from Gastric Cancer: Results from a Chinese Center

Abstract Background This work was to evaluate the efficacy and safety of cytoreductive surgery (CRS) plus hyperthermic intraperitoneal chemotherapy (HIPEC) with lobaplatin and docetaxel to treat peritoneal carcinomatosis (PC) from gastric cancer (GC). Methods A total of 50 consecutive GC PC patients...

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Veröffentlicht in:European journal of surgical oncology 2016-07, Vol.42 (7), p.1024-1034
Hauptverfasser: Wu, Hai-Tao, MD, Peng, Kai-Wen, MD, Ji, Zhong-He, MD, Sun, Jian-Hua, MD, Zhang, Qian, MD, Yang, Xiao-Jun, MD, PhD, Huang, Chao-Qun, MD, PhD, Li, Yan, MD, PhD
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container_end_page 1034
container_issue 7
container_start_page 1024
container_title European journal of surgical oncology
container_volume 42
creator Wu, Hai-Tao, MD
Peng, Kai-Wen, MD
Ji, Zhong-He, MD
Sun, Jian-Hua, MD
Zhang, Qian, MD
Yang, Xiao-Jun, MD, PhD
Huang, Chao-Qun, MD, PhD
Li, Yan, MD, PhD
description Abstract Background This work was to evaluate the efficacy and safety of cytoreductive surgery (CRS) plus hyperthermic intraperitoneal chemotherapy (HIPEC) with lobaplatin and docetaxel to treat peritoneal carcinomatosis (PC) from gastric cancer (GC). Methods A total of 50 consecutive GC PC patients treated by 52 CRS+HIPEC procedures with lobaplatin 50 mg/m2 and docetaxel 60 mg/m2 in 6,000 mL of normal saline at (43±0.5) °C for 60 min. The primary endpoint was overall survival (OS), and the secondary endpoints were perioperative safety profiles. Results At the median follow-up of 22.5 (range, 5.1-50.7) months, the median OS was 14.3 (95% CI 7.6-21.0) months, and the 1-, 2-, and 3-year survival rates were 58%, 40%, and 32%, respectively. Mortality and serious adverse event (grade 3-5) morbidity rates in postoperative 30 days were 0.0% and 23.1%, respectively. Univariate analysis identified 4 parameters with significant effects on OS: completeness of cytoreduction (CC)0-1, normal (N) the preoperative tumor markers level (TM), adjuvant chemotherapy ≥6 cycles, and peritoneal cancer index ≤20. However, multivariate analysis identified CC0-1, perioperative TM (N), adjuvant chemotherapy ≥6 cycles as the independent predictor for better survival. Conclusions CRS+HIPEC with lobaplatin and docetaxel to treat selected GC PC could improve OS, with acceptable perioperative safety.
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Methods A total of 50 consecutive GC PC patients treated by 52 CRS+HIPEC procedures with lobaplatin 50 mg/m2 and docetaxel 60 mg/m2 in 6,000 mL of normal saline at (43±0.5) °C for 60 min. The primary endpoint was overall survival (OS), and the secondary endpoints were perioperative safety profiles. Results At the median follow-up of 22.5 (range, 5.1-50.7) months, the median OS was 14.3 (95% CI 7.6-21.0) months, and the 1-, 2-, and 3-year survival rates were 58%, 40%, and 32%, respectively. Mortality and serious adverse event (grade 3-5) morbidity rates in postoperative 30 days were 0.0% and 23.1%, respectively. Univariate analysis identified 4 parameters with significant effects on OS: completeness of cytoreduction (CC)0-1, normal (N) the preoperative tumor markers level (TM), adjuvant chemotherapy ≥6 cycles, and peritoneal cancer index ≤20. However, multivariate analysis identified CC0-1, perioperative TM (N), adjuvant chemotherapy ≥6 cycles as the independent predictor for better survival. Conclusions CRS+HIPEC with lobaplatin and docetaxel to treat selected GC PC could improve OS, with acceptable perioperative safety.</description><identifier>ISSN: 0748-7983</identifier><identifier>EISSN: 1532-2157</identifier><identifier>DOI: 10.1016/j.ejso.2016.04.053</identifier><identifier>PMID: 27179924</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adult ; Aged ; Antineoplastic Combined Chemotherapy Protocols - adverse effects ; Antineoplastic Combined Chemotherapy Protocols - therapeutic use ; Carcinoma - drug therapy ; Carcinoma - mortality ; Carcinoma - secondary ; Carcinoma - surgery ; Chemotherapy, Cancer, Regional Perfusion ; China ; Cyclobutanes - administration &amp; dosage ; Cytoreduction Surgical Procedures ; Cytoreductive surgery ; Databases, Factual ; Docetaxel ; Female ; Follow-Up Studies ; Gastric cancer ; Hematology, Oncology and Palliative Medicine ; Humans ; Hyperthermia, Induced ; Hyperthermic intraperitoneal chemotherapy ; Kaplan-Meier Estimate ; Lobaplatin ; Lymphatic Metastasis ; Male ; Middle Aged ; Neoplasm Invasiveness ; Neoplasm Recurrence, Local ; Neoplasm Staging ; Neoplasms, Multiple Primary - drug therapy ; Neoplasms, Multiple Primary - mortality ; Neoplasms, Multiple Primary - surgery ; Organoplatinum Compounds - administration &amp; dosage ; Peritoneal Neoplasms - drug therapy ; Peritoneal Neoplasms - mortality ; Peritoneal Neoplasms - secondary ; Peritoneal Neoplasms - surgery ; Prognosis ; Retrospective Studies ; Sample Size ; Stomach Neoplasms - pathology ; Surgery ; Synchronous peritoneal carcinomatosis ; Taxoids - administration &amp; dosage ; Treatment Outcome</subject><ispartof>European journal of surgical oncology, 2016-07, Vol.42 (7), p.1024-1034</ispartof><rights>2016 The Author(s)</rights><rights>Copyright © 2016 The Author(s). Published by Elsevier Ltd.. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c455t-132214061231bbcb8b8d4db34d12be7a6397f003b4863bb920f29b772a58197f3</citedby><cites>FETCH-LOGICAL-c455t-132214061231bbcb8b8d4db34d12be7a6397f003b4863bb920f29b772a58197f3</cites><orcidid>0000-0001-6018-6538</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ejso.2016.04.053$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27179924$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wu, Hai-Tao, MD</creatorcontrib><creatorcontrib>Peng, Kai-Wen, MD</creatorcontrib><creatorcontrib>Ji, Zhong-He, MD</creatorcontrib><creatorcontrib>Sun, Jian-Hua, MD</creatorcontrib><creatorcontrib>Zhang, Qian, MD</creatorcontrib><creatorcontrib>Yang, Xiao-Jun, MD, PhD</creatorcontrib><creatorcontrib>Huang, Chao-Qun, MD, PhD</creatorcontrib><creatorcontrib>Li, Yan, MD, PhD</creatorcontrib><title>Cytoreductive Surgery plus Hyperthermic Intraperitoneal Chemotherapy with Lobaplatin and Docetaxel to Treat Synchronous Peritoneal Carcinomatosis from Gastric Cancer: Results from a Chinese Center</title><title>European journal of surgical oncology</title><addtitle>Eur J Surg Oncol</addtitle><description>Abstract Background This work was to evaluate the efficacy and safety of cytoreductive surgery (CRS) plus hyperthermic intraperitoneal chemotherapy (HIPEC) with lobaplatin and docetaxel to treat peritoneal carcinomatosis (PC) from gastric cancer (GC). Methods A total of 50 consecutive GC PC patients treated by 52 CRS+HIPEC procedures with lobaplatin 50 mg/m2 and docetaxel 60 mg/m2 in 6,000 mL of normal saline at (43±0.5) °C for 60 min. The primary endpoint was overall survival (OS), and the secondary endpoints were perioperative safety profiles. Results At the median follow-up of 22.5 (range, 5.1-50.7) months, the median OS was 14.3 (95% CI 7.6-21.0) months, and the 1-, 2-, and 3-year survival rates were 58%, 40%, and 32%, respectively. Mortality and serious adverse event (grade 3-5) morbidity rates in postoperative 30 days were 0.0% and 23.1%, respectively. Univariate analysis identified 4 parameters with significant effects on OS: completeness of cytoreduction (CC)0-1, normal (N) the preoperative tumor markers level (TM), adjuvant chemotherapy ≥6 cycles, and peritoneal cancer index ≤20. However, multivariate analysis identified CC0-1, perioperative TM (N), adjuvant chemotherapy ≥6 cycles as the independent predictor for better survival. Conclusions CRS+HIPEC with lobaplatin and docetaxel to treat selected GC PC could improve OS, with acceptable perioperative safety.</description><subject>Adult</subject><subject>Aged</subject><subject>Antineoplastic Combined Chemotherapy Protocols - adverse effects</subject><subject>Antineoplastic Combined Chemotherapy Protocols - therapeutic use</subject><subject>Carcinoma - drug therapy</subject><subject>Carcinoma - mortality</subject><subject>Carcinoma - secondary</subject><subject>Carcinoma - surgery</subject><subject>Chemotherapy, Cancer, Regional Perfusion</subject><subject>China</subject><subject>Cyclobutanes - administration &amp; dosage</subject><subject>Cytoreduction Surgical Procedures</subject><subject>Cytoreductive surgery</subject><subject>Databases, Factual</subject><subject>Docetaxel</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gastric cancer</subject><subject>Hematology, Oncology and Palliative Medicine</subject><subject>Humans</subject><subject>Hyperthermia, Induced</subject><subject>Hyperthermic intraperitoneal chemotherapy</subject><subject>Kaplan-Meier Estimate</subject><subject>Lobaplatin</subject><subject>Lymphatic Metastasis</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neoplasm Invasiveness</subject><subject>Neoplasm Recurrence, Local</subject><subject>Neoplasm Staging</subject><subject>Neoplasms, Multiple Primary - drug therapy</subject><subject>Neoplasms, Multiple Primary - mortality</subject><subject>Neoplasms, Multiple Primary - surgery</subject><subject>Organoplatinum Compounds - administration &amp; 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Peng, Kai-Wen, MD ; Ji, Zhong-He, MD ; Sun, Jian-Hua, MD ; Zhang, Qian, MD ; Yang, Xiao-Jun, MD, PhD ; Huang, Chao-Qun, MD, PhD ; Li, Yan, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c455t-132214061231bbcb8b8d4db34d12be7a6397f003b4863bb920f29b772a58197f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Antineoplastic Combined Chemotherapy Protocols - adverse effects</topic><topic>Antineoplastic Combined Chemotherapy Protocols - therapeutic use</topic><topic>Carcinoma - drug therapy</topic><topic>Carcinoma - mortality</topic><topic>Carcinoma - secondary</topic><topic>Carcinoma - surgery</topic><topic>Chemotherapy, Cancer, Regional Perfusion</topic><topic>China</topic><topic>Cyclobutanes - administration &amp; dosage</topic><topic>Cytoreduction Surgical Procedures</topic><topic>Cytoreductive surgery</topic><topic>Databases, Factual</topic><topic>Docetaxel</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gastric cancer</topic><topic>Hematology, Oncology and Palliative Medicine</topic><topic>Humans</topic><topic>Hyperthermia, Induced</topic><topic>Hyperthermic intraperitoneal chemotherapy</topic><topic>Kaplan-Meier Estimate</topic><topic>Lobaplatin</topic><topic>Lymphatic Metastasis</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neoplasm Invasiveness</topic><topic>Neoplasm Recurrence, Local</topic><topic>Neoplasm Staging</topic><topic>Neoplasms, Multiple Primary - drug therapy</topic><topic>Neoplasms, Multiple Primary - mortality</topic><topic>Neoplasms, Multiple Primary - surgery</topic><topic>Organoplatinum Compounds - administration &amp; dosage</topic><topic>Peritoneal Neoplasms - drug therapy</topic><topic>Peritoneal Neoplasms - mortality</topic><topic>Peritoneal Neoplasms - secondary</topic><topic>Peritoneal Neoplasms - surgery</topic><topic>Prognosis</topic><topic>Retrospective Studies</topic><topic>Sample Size</topic><topic>Stomach Neoplasms - pathology</topic><topic>Surgery</topic><topic>Synchronous peritoneal carcinomatosis</topic><topic>Taxoids - administration &amp; dosage</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wu, Hai-Tao, MD</creatorcontrib><creatorcontrib>Peng, Kai-Wen, MD</creatorcontrib><creatorcontrib>Ji, Zhong-He, MD</creatorcontrib><creatorcontrib>Sun, Jian-Hua, MD</creatorcontrib><creatorcontrib>Zhang, Qian, MD</creatorcontrib><creatorcontrib>Yang, Xiao-Jun, MD, PhD</creatorcontrib><creatorcontrib>Huang, Chao-Qun, MD, PhD</creatorcontrib><creatorcontrib>Li, Yan, MD, PhD</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of surgical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wu, Hai-Tao, MD</au><au>Peng, Kai-Wen, MD</au><au>Ji, Zhong-He, MD</au><au>Sun, Jian-Hua, MD</au><au>Zhang, Qian, MD</au><au>Yang, Xiao-Jun, MD, PhD</au><au>Huang, Chao-Qun, MD, PhD</au><au>Li, Yan, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cytoreductive Surgery plus Hyperthermic Intraperitoneal Chemotherapy with Lobaplatin and Docetaxel to Treat Synchronous Peritoneal Carcinomatosis from Gastric Cancer: Results from a Chinese Center</atitle><jtitle>European journal of surgical oncology</jtitle><addtitle>Eur J Surg Oncol</addtitle><date>2016-07-01</date><risdate>2016</risdate><volume>42</volume><issue>7</issue><spage>1024</spage><epage>1034</epage><pages>1024-1034</pages><issn>0748-7983</issn><eissn>1532-2157</eissn><abstract>Abstract Background This work was to evaluate the efficacy and safety of cytoreductive surgery (CRS) plus hyperthermic intraperitoneal chemotherapy (HIPEC) with lobaplatin and docetaxel to treat peritoneal carcinomatosis (PC) from gastric cancer (GC). Methods A total of 50 consecutive GC PC patients treated by 52 CRS+HIPEC procedures with lobaplatin 50 mg/m2 and docetaxel 60 mg/m2 in 6,000 mL of normal saline at (43±0.5) °C for 60 min. The primary endpoint was overall survival (OS), and the secondary endpoints were perioperative safety profiles. Results At the median follow-up of 22.5 (range, 5.1-50.7) months, the median OS was 14.3 (95% CI 7.6-21.0) months, and the 1-, 2-, and 3-year survival rates were 58%, 40%, and 32%, respectively. Mortality and serious adverse event (grade 3-5) morbidity rates in postoperative 30 days were 0.0% and 23.1%, respectively. Univariate analysis identified 4 parameters with significant effects on OS: completeness of cytoreduction (CC)0-1, normal (N) the preoperative tumor markers level (TM), adjuvant chemotherapy ≥6 cycles, and peritoneal cancer index ≤20. However, multivariate analysis identified CC0-1, perioperative TM (N), adjuvant chemotherapy ≥6 cycles as the independent predictor for better survival. Conclusions CRS+HIPEC with lobaplatin and docetaxel to treat selected GC PC could improve OS, with acceptable perioperative safety.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>27179924</pmid><doi>10.1016/j.ejso.2016.04.053</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0001-6018-6538</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Antineoplastic Combined Chemotherapy Protocols - adverse effects
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Carcinoma - drug therapy
Carcinoma - mortality
Carcinoma - secondary
Carcinoma - surgery
Chemotherapy, Cancer, Regional Perfusion
China
Cyclobutanes - administration & dosage
Cytoreduction Surgical Procedures
Cytoreductive surgery
Databases, Factual
Docetaxel
Female
Follow-Up Studies
Gastric cancer
Hematology, Oncology and Palliative Medicine
Humans
Hyperthermia, Induced
Hyperthermic intraperitoneal chemotherapy
Kaplan-Meier Estimate
Lobaplatin
Lymphatic Metastasis
Male
Middle Aged
Neoplasm Invasiveness
Neoplasm Recurrence, Local
Neoplasm Staging
Neoplasms, Multiple Primary - drug therapy
Neoplasms, Multiple Primary - mortality
Neoplasms, Multiple Primary - surgery
Organoplatinum Compounds - administration & dosage
Peritoneal Neoplasms - drug therapy
Peritoneal Neoplasms - mortality
Peritoneal Neoplasms - secondary
Peritoneal Neoplasms - surgery
Prognosis
Retrospective Studies
Sample Size
Stomach Neoplasms - pathology
Surgery
Synchronous peritoneal carcinomatosis
Taxoids - administration & dosage
Treatment Outcome
title Cytoreductive Surgery plus Hyperthermic Intraperitoneal Chemotherapy with Lobaplatin and Docetaxel to Treat Synchronous Peritoneal Carcinomatosis from Gastric Cancer: Results from a Chinese Center
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