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Review
. 2019 Feb;10(Suppl 1):29-32.
doi: 10.1007/s13193-018-0858-z. Epub 2018 Dec 18.

Current Status of Peritoneal Surface Malignancy in Thailand

Chayanit Sirisai  1 , Asada Methasate  2
Affiliations
Review

Current Status of Peritoneal Surface Malignancy in Thailand

Chayanit Sirisai et al. Indian J Surg Oncol. 2019 Feb.

Abstract

Peritoneal dissemination negatively affects the survival of cancer patients. Comprehensive treatment comprising of cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (HIPEC) introduced by Dr. Paul H. Sugarbaker in 1980 has shown a benefit in survival especially in patients with gastrointestinal cancer and ovarian cancer. Thailand started to perform this integrated treatment in 2012. A modification of the heart-lung machine was used as the hyperthermic pump for the first few years. Until now, 240 cases have been treated in 7 centers. Although the Thai health care system covers all areas and is easy to access, many surgeons still doubt the benefit and safety of this treatment. This coupled with difficulty in procuring the equipment, and high procedural cost has resulted in few surgeons offering this treatment and fewer patients availing of it. The small group of peritoneal surface malignancy (PSM) surgeons tries to educate all health care providers to understand how it works in an advanced-stage cancer patient and to make this procedure be covered by the national health care policy.

Keywords: HIPEC; Malignancy; Peritoneal surface; Thailand.

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Conflict of interest statement

Compliance with Ethical StandardsThe authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
a The heart-lung machine that was used as the hyperthermic pump for HIPEC comprised of membrane oxygenator, rolling pump, and warmer devices. This machine was used for the first case of HIPEC in Thailand. b Another view of HIPEC machine
Fig. 2
Fig. 2
Hospitals that can perform CRS and HIPEC in Thailand
See this image and copyright information in PMC

References

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