Pressurized Intraperitoneal Aerosol Chemotherapy (PIPAC) in Cancer Therapy

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Cancer Therapy".

Deadline for manuscript submissions: 31 July 2025 | Viewed by 1218

Special Issue Editor


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Guest Editor
Surgical Unit of Peritoneum and Retroperitoneum, Fondazione Policlinico Universitario “A. Gemelli” IRCCS, 00168 Rome, Italy
Interests: gastrointestinal, colorectal, and pancreatic surgery; mini-invasive surgery; peritoneal metastasis; cytoreductive surgery; PIPAC; HIPEC

Special Issue Information

Dear Colleagues,

You are cordially invited to contribute to the Special Issue "Pressurized Intraperitoneal Aerosol Chemotherapy (PIPAC) for Cancer Therapy".

Peritoneal metastases (PMs) are common in the advanced stages of many intra-abdominal malignancies. Unfortunately, treatment options for unresectable PMs are limited, and the standard treatment is palliative systemic chemotherapy, with unsatisfactory results.

PIPAC is an innovative treatment modality for unresectable peritoneal metastasis ensuring better distribution of the aerosol-chemotherapy into the abdominal cavity and deeper tissues and nodules drug penetration. Since its first description in 2011, PIPAC has proven to be a feasible and safe procedure. Due to its mini-invasive nature and safe profile, it seems a promising tool for implementing the comprehensive treatment of patients with peritoneal metastasis.

Ongoing research is exploring new drugs for intraperitoneal administration, the safety of combining use with systemic chemotherapy, and the efficacy of PIPAC compared with the standard treatment.

In this Special Issue, we aim to emphasize patient selection criteria, the treatment response assessment, the efficacy outcomes, the economic costs of the procedure, the pharmacokinetic results of the aerosol chemotherapy, and the emerging topic of PIPAC as neoadjuvant treatment.

Original research articles and reviews are welcome. 

We look forward to receiving your contributions.

Dr. Andrea Di Giorgio
Guest Editor

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Keywords

  • PIPAC
  • intraperitoneal chemotherapy
  • aerosol chemotherapy
  • peritoneal metastasis
  • neoadjuvant
  • bidirectional treatment
  • patient selection
  • peritoneal carcinomatosis

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Published Papers (1 paper)

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Research

9 pages, 223 KiB  
Article
How to Implement Pressurized Intraperitoneal Aerosol Chemotherapy into a National Health System Scenario: A Single-Center Retrospective Analysis of Costs and Economic Sustainability at a High-Volume Italian Hospital
by Matteo Aulicino, Cecilia Orsini, Giorgio D’Annibale, Lorenzo Barberis, Paolo Catania, Carlo Abatini, Miriam Attalla El Halabieh, Federica Ferracci, Claudio Lodoli, Francesco Santullo, Fabio Pacelli and Andrea Di Giorgio
Cancers 2024, 16(15), 2637; https://doi.org/10.3390/cancers16152637 - 24 Jul 2024
Viewed by 948
Abstract
PIPAC is a new surgical procedure and a viable treatment option for PSM patients, due to promising therapeutic outcomes, minimal invasiveness, limited surgical morbidity, and systemic toxicity side effects. However, its implementation throughout hospitals is hard to obtain due to its fragile economical [...] Read more.
PIPAC is a new surgical procedure and a viable treatment option for PSM patients, due to promising therapeutic outcomes, minimal invasiveness, limited surgical morbidity, and systemic toxicity side effects. However, its implementation throughout hospitals is hard to obtain due to its fragile economical sustainability. A retrospective health economic analysis was conducted in order to evaluate the cost of hospitalization for patients undergoing PIPAC treatment at Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, in Rome. The average cost of a PIPAC procedure was defined based on the cost of surgery (cost of surgical material, operating room, intraperitoneal chemotherapy), hospital stay, diagnostic examinations, and drugs used during the stay. A total of 493 PIPAC procedures were performed on 222 patients with peritoneal metastases or primary peritoneal cancer from 2017 to 2023. Since the mean remuneration for each PIPAC hospitalization is €5916 and the mean expenditure per hospitalization is €6538, this results in an operating profit per PIPAC hospitalization of −€622. The reimbursement of PIPAC treatment by the Italian National Health System currently only partially covers the hospital’s costs. Development of specific codes and adequate reimbursement for PIPAC by recognizing this procedure as a proper treatment for peritoneal carcinomatosis is essential. Full article
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