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. 2018 Oct 8;2018(10):CD012567. doi: 10.1002/14651858.CD012567.pub2

1. Criteria to consider primary debulking unfeasible.

Criteria to consider primary debulking unfeasible according to study methods
  Alessi Shim Espada Forstner Michielsen
Site of tumour involvement          
Liver/porta hepatis Yes No No Yes Yes
Mesentery Yes Yes Yes Yes No
Colon Yes, when necessitating > 4 bowel resections No No No Yes, when necessitating multiple bowel resections
Stomach Yes No Yes No Yes
Pancreas Yes No No No Yes
Duodenum Yes No No No Yes
Diaphragm No Yes No Yes No
Ascites No Yes No No No
Peritoneal carcinomatosis Yes Yes No No No
Lesser sac/bursa omentalis No No Yes Yes No
Spleen/splenic hilum No No Yes No No
Lymph nodes above level of renal vessels/at coeliac axis No No Yes Yes Yes
Gastrosplenic ligament No No No Yes No
Presacral extraperitoneal disease No No No Yes No
Extra‐abdominal distant metastasis No No No No Yes
Vessels of coeliac trunk No No No No Yes
Hepatoduodenal ligament No No No No Yes
Superior mesenteric artery No No No No Yes

Yes: site of tumour involvement is selected as one of the criteria to consider primary debulking unfeasible
 No: site of tumour involvement is not selected as a criterion to consider primary debulking unfeasible