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Peritoneal cancer index: laparoscopic evaluation of peritoneal carcinomatosis from gynecological origin
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  1. Manon Daix1,2

    Dr Manon Daix, current ESGO fellow at the Institut Universitaire du Cancer -Oncopole- in Toulouse, France and gynecological surgeon at the Centre Hospitalier Chrétien -Montlegia- in Liège, Belgium.


    ,
  2. Martina Aida Angeles2,
  3. Stéphanie Motton2,
  4. Yann Tanguy Le Gac2,
  5. Gwenael Ferron2 and
  6. Alejandra Martinez2
  1. 1 Gynecology, Centre Hospitalier Chrétien-Montlegia, Liège, Belgium
  2. 2 Surgical Oncology, Institut Universitaire du Cancer Toulouse Oncopole, Toulouse, Occitanie, France
  1. Correspondence to Dr Manon Daix, Gynecology, Centre Hospitalier Chrétien-Montlegia, 4000 Liège, Belgium; manondaix89{at}gmail.com

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Summary

The peritoneal cancer index was proposed in 1996 by Professor Sugarbaker,1 and was initially used for colon cancer to assess the tumor burden during laparotomy procedures.2 The peritoneal cancer index is now broadly used for several cancers, including ovarian cancer.3 This index is commonly assessed by diagnostic laparoscopy before cytoreductive surgery to adapt the treatment strategy and guide the surgical decision.4 However, the peritoneal cancer index is subject to variability between surgeons and teams, and there is no validated cut-off value for neoadjuvant treatment.5–7 In this video, we present an educational lesson to evaluate the peritoneal cancer index score by laparoscopy for peritoneal carcinomatosis. We describe each of the 13 abdominopelvic regions and define how to calculate tumor extension. A score is assigned for each region in several examples and the peritoneal cancer index is determined in didactic videos.

Figure 1

Example of peritoneal carcinomatosis, pelvic view.

Video 1 Peritoneal cancer index: laparoscopic evaluation of peritoneal carcinomatosis from gynecological origin.

Data availability statement

Data sharing not applicable as no datasets generated and/or analyzed for this study.

Ethics statements

Patient consent for publication

Ethics approval

Not applicable.

Dr Manon Daix, current ESGO fellow at the Institut Universitaire du Cancer -Oncopole- in Toulouse, France and gynecological surgeon at the Centre Hospitalier Chrétien -Montlegia- in Liège, Belgium.


References

Footnotes

  • Twitter @Manon Daix, @AngelesFite, @Alejandra

  • Contributors All authors made the appropriate contribution to this work, watching the video, correcting explanations and annotations, reading the summary, and giving their full approval.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial, or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; externally peer reviewed.