The utility of cytoreductive surgery (CRS) and intraperitoneal chemotherapy (IPC) in treatment of peritoneal dissemination of colorectal adenocarcinoma has been a topic of controversy. In 1995, Sugarbaker and Jablonski
1 first pioneered the idea of isolated peritoneal dissemination of appendiceal and colon adenocarcinomas as a surgical disease while establishing CRS and IPC as treatment options. Since then, a number of studies have attempted to further delineate the benefits of CRS and IPC, with evidence pointing to a survival benefit of CRS and IPC for appropriately selected patients. However, no studies have been able to adequately test the benefits of CRS plus IPC compared with CRS alone.
2‐
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