Inclusion criteria |
− Primary or recurrent gastric adenocarcinoma |
− Histological confirmation of peritoneal carcinomatosis from gastric adenocarcinoma |
− Systemic chemotherapy and/or biological are allowed before and/or after CRS + HIPC |
− Radiotherapy is allowed before or after CRS + HIPC |
− Prior CRS + HIPC is allowed if performed more than 1 year ago |
− Age between 18 to 75 years |
− Patient Karnofsky Performance Scale (KPS) ≥ 80 |
− Signed informed consent |
Exclusion criteria |
− Pregnancy |
− Any malignancy other than gastric adenocarcinoma |
− Any metastatic disease other than peritoneal carcinomatosis, such as liver, pulmonary or bone metastases |
− Peritoneal carcinomatosis index (PCI) > 20 at the start of CRS |
− Impossibility to obtain complete cytoreduction (CCR-0) at the end of CRS |
− Impossibility to obtain histopathological R0 resection at the end of CRS |
− Clinical relevant ascites |