Table 23.8.
Studies of prophylactic hyperthermic intraperitoneal chemotherapy (HIPEC) in gastric cancer
| Reference | Type of study | Drug used | Survival (HIPEC vs no HIPEC) | Peritoneal recurrence (HIPEC vs no HIPEC) |
|---|---|---|---|---|
| Koga et al. [45] | Randomized controlled trial (RCT) | Mitomycin C (MMC) | 30 mo: 83% vs 67% | N/A |
| Hamazoe et al. [46] | RCT | MMC |
5 year: 64% vs 52% Median survival: 77 mo vs 66 mo |
39% vs 59% |
| Fujimura et al. [36] | RCT | MMC and cisplatin | 3 year: 68% vs 23% | 9% vs 22% |
| Ikeguchi et al. [47] | RCT | MMC | 5 year: 51% vs 46% | 35% vs 40% |
| Fujimoto et al. [48] | RCT | MMC |
2 year: 88% vs 77% 4 year: 76% vs 58% 8 year: 62% vs 49% |
1.4% vs 23% |
| Hirose et al. [49] | Prospective case control | MMC, cisplatin, and etoposide |
3 year: 49% vs 29% 5 year: 39% vs 17% Median survival: 33 mo vs 22 mo |
26 vs 45% |
| Yonemura et al. [50] | RCT | MMC and cisplatin | 5 year: 61% vs 42% | 13 vs 15% |
| Kim et al. [51] | Prospective controlled study | MMC | 5 year: 33% vs 27% | 7.6% vs 25% |
Modified from Seshadri and Glehen [40]