Methodological Consensus Diseases Consensus State of the Art of Related Disciplines
Methodological Consensus
> Introduction
> Expert Clinical Group
> Objectives
> Methodology
> Workflow
> Evidence Based Methodology
> Consensus statement
> General instructions
> Conflicting points
> Voting Results

Conflicting Points

1. Eligibility
V. Verwaal

Curriculum Vitae
2. Pre-operative work-up
T.D. Yan

Curriculum Vitae
3.Intraoperative staging system
A. Gomez Portilla

Curriculum Vitae
4.Technical aspects of the cytoreductive surgery
S. O’Dwyer

Curriculum Vitae
5.Residual disease evaluation
S. Moreno Gonzalez

Curriculum Vitae
6A. Hyperthermic Intraoperative Chemotherapy: nomenclature and modality of perfusion
O. Glehen

Curriculum Vitae
6B. Chemotherapies, carrier solution and optimal temperature
D. Elias

Curriculum Vitae
7.Morbidity, toxicity and mortality classification systems
R. Younan

Curriculum Vitae
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3. Intra-operative staging system - Voting

3.1. In your opinion which one is the best Intra-operative staging system for patients affected by peritoneal carcinomatosis?
(just one alternative allowed)

French system ([19])
First round: 9,68 % - Second round: 6,25 %
Japanese system ([20])
First round: 0 % - Second round: 0 %
Peritoneal cancer Index ([21])
First round: 83,87 % - Second round: 87,50 %
Dutch Simplified Peritoneal Cancer Index ([22])
First round: 6,45 % - Second round: 6,25 %
TNM system.([23])
First round: 0 % - Second round: 0 %

References

[19] Gilly FN, Carry PY, Sayag AC, Brachet A, Panteix G, Salle B, Bienvenu J, Burgard G, Guibert B, Banssillon V, et al. Regional chemotherapy (with mitomycin C) and intra-operative hyperthermia for digestive cancers with peritoneal carcinomatosis. Hepatogastroenterology. 1994 Apr;41(2):124-9
[20] Japanese Research Society for Gastric Cancer (1981): Jpn J Surg, 11:127-139, 1981.
[21] Jacquet P, Sugarbaker PH: Clinical research methodologies in diagnosis and staging of patients with peritoneal carcinomatosis.
In Peritoneal carcinomatosis: principles of management. Edited by: Sugarbaker PH. Boston: Kluwer Academic publishers; 1996:359-374.
OpenURL
[22] Witkamp AJ, de Bree E, Kaag MM, Boot H, Beijnen JH, van Slooten GW, van Coevorden F, Zoetmulder FA: Extensive cytoreductive surgery followed by intra-operative hyperthermic intraperitoneal chemotherapy with mitomycin-C in patients with peritoneal carcinomatosis of colorectal origin. Eur J Cancer 2001, 37:979-984.
[23] http://www.uicc.org. Last access 7/2006

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