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Clin Radiol. 2018 Jun;73(6):517-525. doi: 10.1016/j.crad.2018.02.001. Epub 2018 Mar 21.

What the radiologist should know about postoperative MDCT evaluation of a patient treated with cytoreductive surgery with or without hyperthermic intraperitoneal chemotherapy.

Author information

1
Department of Radiology, Centre Hospitalo-Universitaire de Reims, 45 rue Cognacq-Jay 51092 Reims, France. Electronic address: carole_durot@hotmail.fr.
2
Department of Radiology, Centre Hospitalo-Universitaire de Lyon Sud, 165 Chemin du Grand Revoyet, 69310 Pierre-Bénite, France.
3
Department of General Surgery, Centre Hospitalo-Universitaire de Lyon Sud, 165 Chemin du Grand Revoyet, 69310 Pierre-Bénite, France.
4
Department of General Surgery, Centre Hospitalo-Universitaire de Reims, 45 rue Cognacq-Jay 51092 Reims, France.
5
Department of Radiology, McGill University Health Centre, Montreal General, 1650 Avenue Cedar, Montréal, Québec, Canada; Royal Victoria Hospital, 1001 Decarie Boulevard, Montréal, Québec, Canada; INSERM - U965, Université Sorbonne Paris Cité, France.
6
Department of Radiology, Centre Hospitalo-Universitaire de Reims, 45 rue Cognacq-Jay 51092 Reims, France; CRESTIC, Reims Champagne-Ardenne University, Reims, France.

Abstract

Cytoreductive surgery (CRS), often associated with hyperthermic intraperitoneal chemotherapy (HIPEC), is now a well-recognised treatment for most peritoneal malignancies in selected patients. As imaging is frequently performed postoperatively, radiologists are increasingly confronted with postoperative multidetector-row computed tomography (MDCT) examinations in these cases. In this article, after briefly describing the procedures that are currently being performed for the treatment of peritoneal metastases, the normal postoperative MDCT changes that may be encountered after these procedures are described. We then highlight complications that may arise after CRS, depending on the surgery performed, and those related to HIPEC, and illustrate their MDCT features.

PMID:
29573786
DOI:
10.1016/j.crad.2018.02.001

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