title: Multimodal approach for treatment of peritoneal surface malignancies in a tumour-bearing rat model.
abstract: OBJECTIVE
  Surgical cytoreduction of peritoneal surface malignancy of colorectal origin in combination with hyperthermic intraoperative peritoneal chemotherapy (HIPEC) has become an established treatment approach. Only a few of animal models for scientific research on various therapeutic strategies have been described yet. The feasibility of an established rat model with a peritoneal surface malignancy from colorectal origin for treatment investigation should be examined in this study.
  
  
  METHODS
  Peritoneal surface malignancy of colonic origin was induced in 90 male BD IX rats. Animals were randomised into six groups (15 animals per one control and five treatment groups). One treatment group underwent only surgical debulking. The animals of the other four treatment groups received additional interventions: hyperthermic intraperitoneal chemotherapy with mitomycin or gemcitabine, photodynamic therapy or taurolidine lavage. Twenty-one days after treatment, the intraperitoneal status was investigated. Tumour weight, count of tumour nodules and experimental Peritoneal Carcinosis Index (ePCI) were detected.
  
  
  RESULTS
  Extended surgical cytoreduction and additional treatments including HIPEC were feasible in this rat model. All treatment groups had a significant lower tumour weight, account of tumour nodes and ePCI if compared with the control group. Comparing the additional therapies only HIPEC with mitomycin lead to relevant tumour reduction after surgery.
  
  
  CONCLUSIONS
  This rat model is suitable for research on the multimodal treatment of peritoneal malignancies. A persisting cytoreductive effect of surgical tumour debulking could be proven. Only additional HIPEC therapy with mitomycin showed a significant tumour reduction. This animal model provides the opportunity to investigate different therapeutic strategies.
authors.affiliation: Department of General, Visceral, Vascular and Thoracic Surgery, University Medicine Berlin, Charité Campus Mitte, Charitéplatz 1, 10117 Berlin, Germany. wieland.raue@charite.de
authors.forename: Wieland
authors.initials: W
authors.lastname: Raue
authors.forename: Maik
authors.initials: M
authors.lastname: Kilian
authors.forename: Chris
authors.initials: C
authors.lastname: Braumann
authors.forename: Vladimir
authors.initials: V
authors.lastname: Atanassow
authors.forename: Anna
authors.initials: A
authors.lastname: Makareinis
authors.forename: Sonja
authors.initials: S
authors.lastname: Caldenas
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Schwenk
authors.forename: Jens
authors.initials: J
authors.lastname: Hartmann
mesh_terms: D000818:Animals; D000964:Antimetabolites, Antineoplastic / Q000008:administration & dosage*; D045744:Cell Line, Tumor; D017024:Chemotherapy, Adjuvant; D003110:Colonic Neoplasms / Q000473:pathology*; D003841:Deoxycytidine / Q000008:administration & dosage / Q000031:analogs & derivatives*; D004195:Disease Models, Animal; D007036:Hypothermia, Induced; D007263:Infusions, Parenteral; D008297:Male; D016685:Mitomycin / Q000008:administration & dosage*; D009368:Neoplasm Transplantation; D010534:Peritoneal Neoplasms / Q000188:drug therapy / Q000556:secondary / Q000601:surgery / Q000628:therapy*; D010778:Photochemotherapy; D051381:Rats; D013654:Taurine / Q000008:administration & dosage / Q000031:analogs & derivatives*; D007507:Therapeutic Irrigation; D013829:Thiadiazines / Q000008:administration & dosage*; D013997:Time Factors; D047368:Tumor Burden; D000093542:Gemcitabine
chemical_list: D000964:Antimetabolites, Antineoplastic; D013829:Thiadiazines; D003841:Deoxycytidine; D013654:Taurine; D016685:Mitomycin; C012566:taurolidine; D000093542:Gemcitabine