To investigate the survival outcome of intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) in patients with advanced epithelial ovarian cancer. Intraoperative HIPEC (cisplatin [75 mg/m2], 41.5°C, 90 min) was performed in 30 patients with...
To investigate the survival outcome of intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) in patients with advanced epithelial ovarian cancer. Intraoperative HIPEC (cisplatin [75 mg/m2], 41.5°C, 90 min) was performed in 30 patients with residual tumor < 1 cm after cytoreductive surgery between January 2007 and February 2008. All the patients received adjuvant chemotherapy with combination platinum and taxane. The stages of ovarian carcinoma were III (n = 25) and IV (n = 5). The histology of ovarian carcinoma was as follows: serous carcinoma (n = 24), mucinous carcinoma (n = 2),endometrioid carcinoma (n = 2), clear cell carcinoma (n = 1), and transitional cell carcinoma (n = 1). No mortality and grade IV morbidities were identified. Twenty-one grade III morbidity, requiring intervention, were identified. The most common mobidity is pleural effusion (19%) and pneumothorax (14%) at diaphragmatic stripping/resection site. Median progression free survival was 17.3 months (SE, 5.83; 95% CI 5.83-28.73). Median overall survival was 53 months (SE, 5.43; 95% CI 42.35-63-65). This is the first phase II study that concluded the efficasy and safety in ovarian cancer. Results from ongoing randomised trial (NCT01091636) of HIPEC for ovarian cancer is waited.