title: Laparoscopic HIPEC: A bridge between open and closed-techniques.
abstract: Hyperthermic intraperitoneal chemotherapy (HIPEC) is currently delivered after cytoreductive surgery in patients with several kinds of peritoneal surface malignancies. Different methods for delivering HIPEC have been proposed all of them being variations between two modalities: the open technique and the closed technique. The open technique assures optimal distribution of heat and cytotoxic solution, with the disadvantage of heat loss and leakage of cytotoxic drugs. The closed technique prevents heat loss and drug spillage, increases drug penetration, but does not warrant homogeneous distribution of the perfusion fluid. A novel procedure that combines the advantages of the two techniques by means of laparoscopy is herein presented.
authors.affiliation: Advanced Surgical Oncology Unit, Papa Giovanni XXIII Hospital, Bergamo, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Lotti
authors.affiliation: Advanced Surgical Oncology Unit, Papa Giovanni XXIII Hospital, Bergamo, Italy.
authors.forename: Michela Giulii
authors.initials: MG
authors.lastname: Capponi
authors.affiliation: Advanced Surgical Oncology Unit, Papa Giovanni XXIII Hospital, Bergamo, Italy.
authors.forename: Dario
authors.initials: D
authors.lastname: Piazzalunga
authors.affiliation: Advanced Surgical Oncology Unit, Papa Giovanni XXIII Hospital, Bergamo, Italy.
authors.forename: Elia
authors.initials: E
authors.lastname: Poiasina
authors.affiliation: Advanced Surgical Oncology Unit, Papa Giovanni XXIII Hospital, Bergamo, Italy.
authors.forename: Michele
authors.initials: M
authors.lastname: Pisano
authors.affiliation: Advanced Surgical Oncology Unit, Papa Giovanni XXIII Hospital, Bergamo, Italy.
authors.forename: Roberto
authors.initials: R
authors.lastname: Manfredi
authors.affiliation: Advanced Surgical Oncology Unit, Papa Giovanni XXIII Hospital, Bergamo, Italy.
authors.forename: Luca
authors.initials: L
authors.lastname: Ansaloni
keywords: Cytoreductive surgery; HIPEC; hyperthermic intraperitoneal chemotherapy; peritoneal carcinomatosis; peritoneal surface malignancy