ISSN: 2578-4625
Authors: Rathod P*
Aim and Objectives: This study aimed to investigate Sugarbaker’s peritoneal cancer index (PCI) as an objective indicator for the resectability of epithelial ovarian carcinoma (EOC), as depicted in the study using the completeness of cytoreduction score (CCS). Currently, the intraoperative assessment of operability in EOC surgery is primarily a subjective measurement that is dependent on the surgeon. Methods: The prospective data from 51 patients with EOC FIGO stage III to IV who underwent surgery in a regional cancer institute between July 2015 and June 2017. The PCI and the CCS was recorded intraoperatively using sugarbaker’s PCI chart. The details of cytoreductive procedures done were documented in the patient’s file. A spearman’s rank correlation applied to analyse the surgical predictability of CCS using the PCI. Results: All the 51 cases underwent gynecological surgeries. More than 49% (25 of 51) patients required extensive surgeries in the upper abdomen. The mean PCI’s in CCS 0, CCS 1, CCS 2, and CCS 3 were 8.1, 12.8, 18.6, and 18.5 respectively. There was a strong correlation found between PCI and CCS, and the lower PCI is significantly (P-value <0.0001, r =0.69) associated with better optimal CCS. The 45 (88.2%) of 51 recovered uneventfully, four cases (7.8%) developed surgical site infections, and there were two deaths (3.9%). Conclusion: The PCI more precisely defined the heterogeneous group of patients with EOC stage III. The PCI provided objectivity and reproducibility, and it seems to be a reliable indicator for EOC resectability. We purpose a multi-centric study to define cut-off PCI for the optimal resectability of advanced EOC. Key Words: Epithelial Ovarian cancer, Carcinomatosis, Peritoneal cancer index, Resectability, Cytoreductive surgery.
Keywords: Ovarian Cancers; Gynecological Surgeries; Patients with EOC FIGO
