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