[Treatment of primary and metastatic peritoneal tumors in the Covid-19 pandemic. Proposals for prioritization from the RENAPE and BIG-RENAPE groups].
Identifieur interne : 001616 ( Main/Corpus ); précédent : 001615; suivant : 001617[Treatment of primary and metastatic peritoneal tumors in the Covid-19 pandemic. Proposals for prioritization from the RENAPE and BIG-RENAPE groups].
Auteurs : O. Glehen ; V. Kepenekian ; O. Bouché ; L. Gladieff ; C. HonoreSource :
- Journal de chirurgie viscerale [ 1878-786X ] ; 2020.
Abstract
The Covid-19 pandemic is profoundly changing the organization of healthcare access. This is particularly so for peritoneal neoplastic diseases, for which curative treatment mobilizes substantial personnel, operating room and intensive care resources. The BIG-RENAPE and RENAPE groups have made tentative proposals for prioritizing care provision. A tightening of the usual selection criteria is needed for curative care: young patients with few or no comorbidities and limited peritoneal extension. It is desirable to prioritize disease conditions for which cytoreduction surgery with or without associated hyperthermic intraoperative peritoneal chemotherapy (HIPEC) is the gold-standard treatment, and for which systemic chemotherapy cannot be a temporary or long-term alternative: pseudomyxoma peritonei, resectable malignant peritoneal mesotheliomas, peritoneal metastases of colorectal origin if they are resectable and unresponsive to systemic chemotherapy after up to 12 courses, first-line ovarian carcinomatosis if resectable or in interval surgery after at most six courses of systemic chemotherapy. Addition of HIPEC must be discussed case by case in an expert center. The prioritization of indications must consider local conditions and the phase of the epidemic to allow optimal peri-operative care.
DOI: 10.1016/j.jchirv.2020.04.011
PubMed: 32328206
PubMed Central: PMC7177067
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Kepenekian</name><affiliation><nlm:affiliation>Service de chirurgie digestive et endocrinienne, hôpital Lyon Sud - Hospices Civils de Lyon, 165, chemin du Grand Revoyet, 69495 Pierre-Bénite, France.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>EA 3738, Université Lyon 1, Lyon, France.</nlm:affiliation></affiliation></author><author><name sortKey="Bouche, O" sort="Bouche, O" uniqKey="Bouche O" first="O" last="Bouché">O. Bouché</name><affiliation><nlm:affiliation>Service d'hépato-gastro-entérologie et cancérologie digestive, hôpital Robert-Debré, Reims, France.</nlm:affiliation></affiliation></author><author><name sortKey="Gladieff, L" sort="Gladieff, L" uniqKey="Gladieff L" first="L" last="Gladieff">L. Gladieff</name><affiliation><nlm:affiliation>Département d'oncologie médicale, institut universitaire du cancer de Toulouse, Toulouse, France.</nlm:affiliation></affiliation></author><author><name sortKey="Honore, C" sort="Honore, C" uniqKey="Honore C" first="C" last="Honore">C. Honore</name><affiliation><nlm:affiliation>Département de chirurgie, institut Gustave-Roussy, Villejuif, France.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32328206</idno><idno type="pmid">32328206</idno><idno type="doi">10.1016/j.jchirv.2020.04.011</idno><idno type="pmc">PMC7177067</idno><idno type="wicri:Area/Main/Corpus">001616</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">001616</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Treatment of primary and metastatic peritoneal tumors in the Covid-19 pandemic. Proposals for prioritization from the RENAPE and BIG-RENAPE groups].</title><author><name sortKey="Glehen, O" sort="Glehen, O" uniqKey="Glehen O" first="O" last="Glehen">O. Glehen</name><affiliation><nlm:affiliation>Service de chirurgie digestive et endocrinienne, hôpital Lyon Sud - Hospices Civils de Lyon, 165, chemin du Grand Revoyet, 69495 Pierre-Bénite, France.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>EA 3738, Université Lyon 1, Lyon, France.</nlm:affiliation></affiliation></author><author><name sortKey="Kepenekian, V" sort="Kepenekian, V" uniqKey="Kepenekian V" first="V" last="Kepenekian">V. Kepenekian</name><affiliation><nlm:affiliation>Service de chirurgie digestive et endocrinienne, hôpital Lyon Sud - Hospices Civils de Lyon, 165, chemin du Grand Revoyet, 69495 Pierre-Bénite, France.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>EA 3738, Université Lyon 1, Lyon, France.</nlm:affiliation></affiliation></author><author><name sortKey="Bouche, O" sort="Bouche, O" uniqKey="Bouche O" first="O" last="Bouché">O. Bouché</name><affiliation><nlm:affiliation>Service d'hépato-gastro-entérologie et cancérologie digestive, hôpital Robert-Debré, Reims, France.</nlm:affiliation></affiliation></author><author><name sortKey="Gladieff, L" sort="Gladieff, L" uniqKey="Gladieff L" first="L" last="Gladieff">L. Gladieff</name><affiliation><nlm:affiliation>Département d'oncologie médicale, institut universitaire du cancer de Toulouse, Toulouse, France.</nlm:affiliation></affiliation></author><author><name sortKey="Honore, C" sort="Honore, C" uniqKey="Honore C" first="C" last="Honore">C. Honore</name><affiliation><nlm:affiliation>Département de chirurgie, institut Gustave-Roussy, Villejuif, France.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Journal de chirurgie viscerale</title><idno type="ISSN">1878-786X</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The Covid-19 pandemic is profoundly changing the organization of healthcare access. This is particularly so for peritoneal neoplastic diseases, for which curative treatment mobilizes substantial personnel, operating room and intensive care resources. The BIG-RENAPE and RENAPE groups have made tentative proposals for prioritizing care provision. A tightening of the usual selection criteria is needed for curative care: young patients with few or no comorbidities and limited peritoneal extension. It is desirable to prioritize disease conditions for which cytoreduction surgery with or without associated hyperthermic intraoperative peritoneal chemotherapy (HIPEC) is the gold-standard treatment, and for which systemic chemotherapy cannot be a temporary or long-term alternative: pseudomyxoma peritonei, resectable malignant peritoneal mesotheliomas, peritoneal metastases of colorectal origin if they are resectable and unresponsive to systemic chemotherapy after up to 12 courses, first-line ovarian carcinomatosis if resectable or in interval surgery after at most six courses of systemic chemotherapy. Addition of HIPEC must be discussed case by case in an expert center. 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It is desirable to prioritize disease conditions for which cytoreduction surgery with or without associated hyperthermic intraoperative peritoneal chemotherapy (HIPEC) is the gold-standard treatment, and for which systemic chemotherapy cannot be a temporary or long-term alternative: pseudomyxoma peritonei, resectable malignant peritoneal mesotheliomas, peritoneal metastases of colorectal origin if they are resectable and unresponsive to systemic chemotherapy after up to 12 courses, first-line ovarian carcinomatosis if resectable or in interval surgery after at most six courses of systemic chemotherapy. Addition of HIPEC must be discussed case by case in an expert center. 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