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Table 2 Technical details and outcomes of diagnostic laparoscopy (DL) stratified by the timing of the procedure with respect to planned laparotomy for cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS + HIPEC) a

From: Role of laparoscopy in patients with peritoneal metastases considered for cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (HIPEC)

Characteristic Procedure done concurrently with planned laparotomy for CRS + HIPEC (n = 61) Procedure done separately prior to laparotomy for CRS + HIPEC (N = 12)
Entrance technique   
Visual entry system 43 (70.5) 8
Hasson trocar 18 (29.5) 4
Site entry   
Left upper quadrant 38 (62.3) 6
Midline periumbilical 23 (37.7) 6
Laparoscopy converted to open (inadequate visualization due to adhesions) 10 (16.4) 0
Excluded from laparotomy for CRS + HIPEC after adequate evaluation 10 (19.6) 8
Reason for exclusion   
Extensive disease 5 6
No carcinomatosis 5 2
Completed HIPEC 44 (86.3) 3 (1 Patient underwent CRS only due to poor functional status)
Open HIPEC 35 3
Laparoscopic HIPEC 9 0
Excluded from HIPEC at laparotomy (n = 42: 32 cases selected after complete laparoscopic evaluation and 10 cases of laparoscopic conversion to open) 7 0
Reason for exclusion   
Extensive disease 5  
No carcinomatosis (Cases converted from laparoscopy due to inadequate evaluation) 2  
Delayed HIPEC for those excluded at laparoscopy 2 3
  1. aTwo patients underwent both concurrent and separate DL.