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
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 |