2008
DOI: 10.1245/s10434-008-0115-8
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Increased Tissue Diffusion of Oxaliplatin During Laparoscopically Assisted Versus Open Heated Intraoperative Intraperitoneal Chemotherapy (HIPEC)

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Cited by 37 publications
(20 citation statements)
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“…10 The enhancing effect of pressure on the penetration of oxaliplatin has also been suggested in an experimental study of laparoscopic HIPEC. 24,25 Interestingly, according to our results, the effect of pressure is more marked in the parietal peritoneum (although also present in the viscera), whereas the effect of hyperthermia is more marked in the visceral peritoneum. This suggests that the 2 techniques complement each other to optimize the effect of intraperitoneal chemotherapy and offer a global treatment for peritoneal carcinomatosis.…”
Section: Tissue Concentration Of Oxaliplatinsupporting
confidence: 72%
“…10 The enhancing effect of pressure on the penetration of oxaliplatin has also been suggested in an experimental study of laparoscopic HIPEC. 24,25 Interestingly, according to our results, the effect of pressure is more marked in the parietal peritoneum (although also present in the viscera), whereas the effect of hyperthermia is more marked in the visceral peritoneum. This suggests that the 2 techniques complement each other to optimize the effect of intraperitoneal chemotherapy and offer a global treatment for peritoneal carcinomatosis.…”
Section: Tissue Concentration Of Oxaliplatinsupporting
confidence: 72%
“…Animal experiments confirmed the increased intratumoral accumulation of intraperitoneal chemotherapy when the intra-abdominal pressure was raised during HIPEC [39,40]. Gesson-Paute and coworkers reported in a pig model that increased intra-abdominal pressure during laparoscopic HIPEC as compared to open HIPEC facilitated drug penetration into the plasma compartment and peritoneal tissues [41,42]. The question remains if increased chemotherapy penetration into tumor nodules is the underlying mechanism explaining efficacy of laparoscopic HIPEC in palliating malignant ascites.…”
Section: Pharmacokinetic Rationalementioning
confidence: 85%
“…Furthermore, laparoscopic HIPEC allows for the better penetration of drugs in peritoneal tumors than HIPEC under laparotomy and the peritoneum because closed HIPEC generates a high intraperitoneal pressure than HIPEC under laparotomy (Thomas, 2008).…”
Section: Discussionmentioning
confidence: 99%