%0 Journal Article
%T Quality of Life Study following Cytoreductive Surgery and Intraperitoneal Chemotherapy for Pseudomyxoma Peritonei including Redo Procedures
%A Rachel Kirby
%A Winston Liauw
%A Jing Zhao
%A David Morris
%J International Journal of Surgical Oncology
%D 2013
%I Hindawi Publishing Corporation
%R 10.1155/2013/461041
%X Background. Our aim was to evaluate the quality of life following cytoreductive surgery and intraperitoneal chemotherapy for pseudomyxoma peritonei. We also conducted an analysis of all patients who underwent CRS and HIPEC for pseudomyxoma peritonei from 1997 to 2012. Methods. We contacted 87 patients using the FACT C (version 4) quality of life questionnaire, and FACIT-TS-G (version 1) was also used. Results. A total of 63 patients (response rate 72%) were available for quality of life interview and analysis. The median time from surgery to questionnaire evaluation was 31 months (range 6¨C161 months). 62% were females with an average age of 54 years. 22% of the patients had over one cytoreductive surgical procedure. We analysed our patients postoperatively based on physical, functional, social, and emotional well being who reported favourable outcomes in all sections. Patients who had a single procedure had a significantly higher score ( ) in the additional concerns section of the questionnaire. The patients who had a single procedure had better gastrointestinal digestion in terms of bowel control, appetite, and food digestion and also body appearance scoring. Conclusions. 79% of the patients stated that they would undergo further cytoreductive surgery and that redo procedures do not result in a significantly worse quality of life. 1. Introduction As a result of pioneering work by Sugarbaker, cytoreductive surgery (CRS) and heated intraperitoneal chemotherapy (HIPEC) have become the mainstay of treatment for pseudomyxoma peritonei (PMP) [1]. Appendiceal neoplasms are uncommon making up 1% of colorectal malignancies [2]. Epithelial appendiceal neoplasms frequently present with mucinous ascites and tumour implants throughout the abdomen. Most cases of PMP result from rupture of a low grade appendiceal tumour with mucin accumulating in the abdominal cavity due to its production by epithelial cells. PMP results in death via obliteration of the peritoneal cavity even though there are little haematogenous or lymph node metastases. In the past, PMP was attempted to be treated with repeated debulking procedures; however, this resulted in recurrence and death secondary to bowel obstruction, surgical complications, or terminal starvation [3]. The macroscopic disease of PMP is targeted by surgical cytoreduction and the microscopic by intraperitoneal chemotherapy. It is a curative treatment option with many centres publishing successful data [4¨C9]. A major past criticism of cytoreductive surgery has been the associated morbidity and mortality. The only effective
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