Intraperitoneal Chemotherapy Strategies in Pancreatic Ductal Adenocarcinoma: A Systematic Review of Hyperthermic Intraperitoneal Chemotherapy, Normothermic Intraperitoneal Chemotherapy, and Pressurized Intraperitoneal Aerosol Chemotherapy

Intraperitoneal chemotherapy strategies in PDAC appear feasible with signals of meaningful clinical benefit in select settings. While CRS + HIPEC may benefit carefully selected metastatic patients, NIPEC/IP-PTX and PIPAC hold value primarily in symptom control and disease stabilization. Larger prospective trials are needed to define patient selection, optimize treatment protocols, and clarify survival benefit.

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Journal
Cancers
Published
2026-01-06
DOI
https://doi.org/10.3390/cancers18020182
Primary Topic
Intraperitoneal and Appendiceal Malignancies
Type
article
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article

Intraperitoneal Chemotherapy Strategies in Pancreatic Ductal Adenocarcinoma: A Systematic Review of Hyperthermic Intraperitoneal Chemotherapy, Normothermic Intraperitoneal Chemotherapy, and Pressurized Intraperitoneal Aerosol Chemotherapy

Ahmed Abdelhakeem, Nency Ganatra, Conor O’Donnell, Pragya Jain et al.
Cancers
Intraperitoneal and Appendiceal Malignancies
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Intraperitoneal Chemotherapy Strategies in Pancreatic Ductal Adenocarcinoma: A Systematic Review of Hyperthermic Intraperitoneal Chemotherapy, Normothermic Intraperitoneal Chemotherapy, and Pressurized Intraperitoneal Aerosol Chemotherapy

Ahmed Abdelhakeem, Nency Ganatra, Conor O’Donnell, Pragya Jain, Hani M. Babiker, Oluwatayo Adeoye, Dina Elantably, Saivaishnavi Kamatham, Umair Majeed
article en

Abstract

Intraperitoneal chemotherapy strategies in PDAC appear feasible with signals of meaningful clinical benefit in select settings. While CRS + HIPEC may benefit carefully selected metastatic patients, NIPEC/IP-PTX and PIPAC hold value primarily in symptom control and disease stabilization. Larger prospective trials are needed to define patient selection, optimize treatment protocols, and clarify survival benefit.

CancersVol. 18(2)
Jacksonville College (US), Saint Thomas Midtown Hospital (US), Baptist Hospital (US)
No poverty
Openalex Percentile: Top 96%
Intraperitoneal and Appendiceal Malignancies
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