Table 2:
Inclusion and exclusion criteria.
| Inclusion | Exclusion |
|---|---|
| Documented informed consent | Extraperitoneal metastatic disease |
| Age ≥ 18 years | Progression on both first- and second-line systemic chemotherapy; progression on irinotecan-based chemotherapy |
| Histologically confirmed appendiceal or colorectal carcinoma | Bowel obstruction requiring nasogastric or gastrostomy tube |
| No contraindications for laparoscopy | Life expectancy of less than 6 months |
| Visible peritoneal disease on cross sectional imaging or on laparoscopy | Ascites due to liver cirrhosis or portal vein thrombosis |
| At least 4 months of standard of care systemic chemotherapy (e.g. FOLFOX, FOLFIRI, FOLFOXIRI). If irinotecan-based chemotherapy was used the patients should not have progression on irinotecan-based chemotherapy | Simultaneous tumor-debulking with gastrointestinal resection |
| Uncontrolled current cardiac or renal comorbidity, myelosuppression, or hepatic impairment | |
| Exclusive total parenteral nutrition |