{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T05:12:30Z","timestamp":1777353150075,"version":"3.51.4"},"reference-count":42,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,1,25]],"date-time":"2025-01-25T00:00:00Z","timestamp":1737763200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,1,25]],"date-time":"2025-01-25T00:00:00Z","timestamp":1737763200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum D\u00fcsseldorf. Anstalt \u00f6ffentlichen Rechts"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Langenbecks Arch Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Purpose<\/jats:title>\n            <jats:p>The primary objective was to compare the intra- and postoperative outcomes of diaphragmatic stripping versus full-thickness diaphragmatic resection in patients with peritoneal carcinomatosis who underwent cytoreductive surgery.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>According to the PRSIMA guidelines, a comprehensive literature search was conducted for studies comparing postoperative pulmonary complications as well as intra- and postoperative outcomes of diaphragmatic stripping versus full-thickness diaphragmatic resection in patients with peritoneal carcinomatosis necessitating cytoreductive surgery. Data from eligible studies were extracted, qualitatively assessed, and included in a meta-analysis. Odds ratios (ORs) and standardized mean differences (SMDs) with 95 per cent confidence intervals were calculated.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Ten studies with 1325 patients were included in this meta-analysis. Diaphragmatic stripping was associated with lower incidence of pleural effusion (OR 0.47, 95% CI 0.35\u20130.63,\u00a0<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.00001) and pneumothorax (OR 0.52, 95% CI 0.35\u20130.78,\u00a0<jats:italic>p<\/jats:italic>\u2009=\u20090.002), less severe postoperative complications (Clavien-Dindo Grade\u2009\u2265\u20093) (OR 0.43, 95% CI 0.30\u20130.63,\u00a0<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001), and shorter duration of surgery (SMD -0.31, 95% CI -0.54 \u2013 -0.08,\u00a0<jats:italic>p<\/jats:italic>\u2009=\u20090.007). No significant differences were observed in postoperative subdiaphragmatic abscess occurrence, intraoperative blood loss, hospital- and ICU-stay, and 90-day mortality.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Diaphragmatic stripping leads to a\u00a0significantly lower rate of postoperative pulmonary and severe complications compared to diaphragmatic full-thickness resection, while oncological outcomes do not appear to be worse. Larger trials with standardized study protocols and long-term survival data are needed to validate the results presented here.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00423-025-03611-0","type":"journal-article","created":{"date-parts":[[2025,1,25]],"date-time":"2025-01-25T08:26:40Z","timestamp":1737793600000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Diaphragmatic stripping versus full-thickness diaphragmatic resection in cytoreductive surgery: a meta-analysis of the current evidence"],"prefix":"10.1007","volume":"410","author":[{"given":"Maria Chara","family":"Stylianidi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sascha","family":"Vaghiri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alireza","family":"Pandkhahi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sultan","family":"Kazziha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ward","family":"Al Akeel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wolfram Trudo","family":"Knoefel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dimitrios","family":"Prassas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,1,25]]},"reference":[{"key":"3611_CR1","doi-asserted-by":"publisher","unstructured":"Cort\u00e9s-Guiral D, H\u00fcbner M, Alyami M, Bhatt A, Ceelen W, Glehen O et al (2021) Primary and metastatic peritoneal surface malignancies. Nat Rev Dis Prim 7(1). https:\/\/doi.org\/10.1038\/s41572-021-00326-6","DOI":"10.1038\/s41572-021-00326-6"},{"key":"3611_CR2","first-page":"S2","volume":"20","author":"PH Sugarbaker","year":"2015","unstructured":"Sugarbaker PH (2015) Management of peritoneal metastases - Basic concepts. J BUON 20:S2-11","journal-title":"J BUON"},{"issue":"1","key":"3611_CR3","doi-asserted-by":"publisher","first-page":"143","DOI":"10.1016\/j.ejso.2020.08.016","volume":"47","author":"F Carboni","year":"2021","unstructured":"Carboni F, Federici O, Zazza S, Sperduti I, Valle M (2021) Feasibility of diaphragmatic interventions in cytoreductive surgery with hyperthermic intraperitoneal chemotherapy for peritoneal carcinomatosis: A 20-year experience. Eur J Surg Oncol 47(1):143\u2013148. https:\/\/doi.org\/10.1016\/j.ejso.2020.08.016","journal-title":"Eur J Surg Oncol"},{"issue":"5","key":"3611_CR4","doi-asserted-by":"publisher","first-page":"1639","DOI":"10.1245\/s10434-014-4083-x","volume":"22","author":"B Franssen","year":"2015","unstructured":"Franssen B, Tabrizian P, Weinberg A, Romanoff A, Tuvin D, Labow D et al (2015) Outcome of cytoreductive surgery and hyperthermic intraperitoneal chemotherapy on patients with diaphragmatic involvement. Ann Surg Oncol 22(5):1639\u20131644","journal-title":"Ann Surg Oncol"},{"issue":"2","key":"3611_CR5","doi-asserted-by":"publisher","first-page":"1058","DOI":"10.1245\/s10434-023-14470-8","volume":"31","author":"G Liu","year":"2024","unstructured":"Liu G, Ji Z, Li X, An S, Zhang Y, Li B et al (2024) Outcomes following cytoreductive surgery and hyperthermic intraoperative thoraco-abdominal chemotherapy with diaphragm resection for peritoneal carcinomatosis: a retrospective cohort study. Ann Surg Oncol. 31(2):1058\u201368. https:\/\/doi.org\/10.1245\/s10434-023-14470-8","journal-title":"Ann Surg Oncol."},{"issue":"279","key":"3611_CR6","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1016\/j.ejogrb.2022.10.014","volume":"2022","author":"D Huber","year":"2022","unstructured":"Huber D, Fournier I, Christodoulou M, Seidler S, Besse V, Mathey MP et al (August 2022) Stapled diaphragm resection: A new approach to diaphragmatic cytoreductive surgery for advanced-stage ovarian cancer. Eur J Obstet Gynecol Reprod Biol 2022(279):88\u201393","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"2","key":"3611_CR7","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1016\/j.ygyno.2005.08.027","volume":"100","author":"GD Aletti","year":"2006","unstructured":"Aletti GD, Dowdy SC, Podratz KC, Cliby WA (2006) Surgical treatment of diaphragm disease correlates with improved survival in optimally debulked advanced stage ovarian cancer. Gynecol Oncol 100(2):283\u2013287","journal-title":"Gynecol Oncol"},{"issue":"3","key":"3611_CR8","doi-asserted-by":"publisher","first-page":"871","DOI":"10.1016\/j.ygyno.2006.05.023","volume":"103","author":"EL Eisenhauer","year":"2006","unstructured":"Eisenhauer EL, D\u2019Angelica MI, Abu-Rustum NR, Sonoda Y, Jarnagin WR, Barakat RR et al (2006) Incidence and management of pleural effusions after diaphragm peritonectomy or resection for advanced mullerian cancer. Gynecol Oncol 103(3):871\u2013877","journal-title":"Gynecol Oncol"},{"issue":"2","key":"3611_CR9","doi-asserted-by":"publisher","first-page":"255","DOI":"10.1016\/j.ygyno.2010.07.017","volume":"119","author":"S Bashir","year":"2010","unstructured":"Bashir S, Gerardi MA, Giuntoli RL, Montes TPD, Bristow RE (2010) Surgical technique of diaphragm full-thickness resection and trans-diaphragmatic decompression of pneumothorax during cytoreductive surgery for ovarian cancer. Gynecol Oncol 119(2):255\u2013258. https:\/\/doi.org\/10.1016\/j.ygyno.2010.07.017","journal-title":"Gynecol Oncol"},{"issue":"2","key":"3611_CR10","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1016\/j.ejso.2010.10.004","volume":"37","author":"E Ch\u00e9reau","year":"2011","unstructured":"Ch\u00e9reau E, Rouzier R, Gouy S, Ferron G, Narducci F, Bergzoll C et al (2011) Morbidity of diaphragmatic surgery for advanced ovarian cancer: Retrospective study of 148 cases. Eur J Surg Oncol 37(2):175\u2013180","journal-title":"Eur J Surg Oncol"},{"issue":"1","key":"3611_CR11","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1016\/j.ygyno.2013.07.091","volume":"131","author":"K Kato","year":"2013","unstructured":"Kato K, Tate S, Nishikimi K, Shozu M (2013) Assessment of intraoperative tube thoracostomy after diaphragmatic resection as part of debulking surgery for primary advanced-stage M\u00fcllerian cancer. Gynecol Oncol 131(1):32\u201335. https:\/\/doi.org\/10.1016\/j.ygyno.2013.07.091","journal-title":"Gynecol Oncol"},{"issue":"7","key":"3611_CR12","doi-asserted-by":"publisher","first-page":"e1000097","DOI":"10.1371\/journal.pmed.1000097","volume":"6","author":"D Moher","year":"2009","unstructured":"Moher D, Liberati A, Tetzlaff J, Altman DG, Antes G, Atkins D et al (2009) Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Med 6(7):e1000097","journal-title":"PLoS Med"},{"issue":"2","key":"3611_CR13","doi-asserted-by":"publisher","first-page":"123","DOI":"10.53841\/bpsicpr.2020.15.2.123","volume":"15","author":"JPT Higgins","year":"2020","unstructured":"Higgins JPT, Green S, Van Den Ben A (2020) Cochrane handbook for systematic reviews of interventions. Int Coach Psychol Rev 15(2):123\u2013125","journal-title":"Int Coach Psychol Rev"},{"key":"3611_CR14","first-page":"4","volume":"355","author":"JA Sterne","year":"2016","unstructured":"Sterne JA, Hern\u00e1n MA, Reeves BC, Savovi\u0107 J, Berkman ND, Viswanathan M et al (2016) ROBINS-I: A tool for assessing risk of bias in non-randomised studies of interventions. BMJ 355:4\u201310","journal-title":"BMJ"},{"issue":"1","key":"3611_CR15","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3109\/07853890.2014.969766","volume":"47","author":"A Malmivaara","year":"2015","unstructured":"Malmivaara A (2015) Methodological considerations of the GRADE method. Ann Med 47(1):1\u20135","journal-title":"Ann Med"},{"issue":"12","key":"3611_CR16","doi-asserted-by":"publisher","first-page":"1294","DOI":"10.1016\/j.jclinepi.2011.03.017","volume":"64","author":"GH Guyatt","year":"2011","unstructured":"Guyatt GH, Oxman AD, Kunz R, Woodcock J, Brozek J, Helfand M et al (2011) GRADE guidelines: 7. Rating the quality of evidence - Inconsistency. J Clin Epidemiol. 64(12):1294\u2013302","journal-title":"J Clin Epidemiol."},{"issue":"6","key":"3611_CR17","doi-asserted-by":"publisher","first-page":"1785","DOI":"10.1177\/0962280216669183","volume":"27","author":"D Luo","year":"2018","unstructured":"Luo D, Wan X, Liu J, Tong T (2018) Optimally estimating the sample mean from the sample size, median, mid-range, and\/or mid-quartile range. Stat Methods Med Res 27(6):1785\u20131805","journal-title":"Stat Methods Med Res"},{"issue":"9","key":"3611_CR18","doi-asserted-by":"publisher","first-page":"1698","DOI":"10.1097\/IGC.0b013e31822f65c3","volume":"21","author":"I Zapardiel","year":"2011","unstructured":"Zapardiel I, Peiretti M, Zanagnolo V, Biffi R, Bocciolone L, Landoni F et al (2011) Diaphragmatic surgery during primary cytoreduction for advanced ovarian cancer: Peritoneal stripping versus diaphragmatic resection. Int J Gynecol Cancer 21(9):1698\u20131703","journal-title":"Int J Gynecol Cancer"},{"issue":"8","key":"3611_CR19","doi-asserted-by":"publisher","first-page":"4676","DOI":"10.1245\/s10434-020-09505-3","volume":"28","author":"A Craus-Miguel","year":"2021","unstructured":"Craus-Miguel A, Segura-Sampedro JJ, Gonz\u00e1lez-Argent\u00e9 X, Morales-Soriano R (2021) Diaphragmatic peritonectomy and full-thickness resection in CRS\/HIPEC may allow higher completeness of cytoreduction rates with a low rate of respiratory complications. Ann Surg Oncol 28(8):4676\u20134682","journal-title":"Ann Surg Oncol"},{"key":"3611_CR20","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1016\/j.ejogrb.2018.05.024","volume":"226","author":"R Pounds","year":"2018","unstructured":"Pounds R, Phillips A, Kehoe S, Nevin J, Sundar S, Elattar A et al (2018) Diaphragm disease in advanced ovarian cancer: Predictability of pre-operative imaging and safety of surgical intervention. Eur J Obstet Gynecol Reprod Biol [Internet] 226:47\u201353. https:\/\/doi.org\/10.1016\/j.ejogrb.2018.05.024","journal-title":"Eur J Obstet Gynecol Reprod Biol [Internet]"},{"issue":"1","key":"3611_CR21","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12885-017-3311-8","volume":"17","author":"S Ye","year":"2017","unstructured":"Ye S, He T, Liang S, Chen X, Wu X, Yang H et al (2017) Diaphragmatic surgery and related complications in primary cytoreduction for advanced ovarian, tubal, and peritoneal carcinoma. BMC Cancer 17(1):1\u20139","journal-title":"BMC Cancer"},{"issue":"4","key":"3611_CR22","doi-asserted-by":"publisher","first-page":"673","DOI":"10.1016\/j.amjsurg.2019.06.018","volume":"219","author":"B Singh","year":"2020","unstructured":"Singh B, Singh G, Alzahrani N, Morris DL (2020) Long term survival and perioperative propensity score matched outcomes of diaphragmatic resections compared to stripping in cytoreductive surgery + intra-peritoneal chemotherapy. Am J Surg 219(4):673\u2013680. https:\/\/doi.org\/10.1016\/j.amjsurg.2019.06.018","journal-title":"Am J Surg"},{"issue":"3","key":"3611_CR23","doi-asserted-by":"publisher","first-page":"430","DOI":"10.1016\/j.ygyno.2015.12.004","volume":"140","author":"H SoleymaniMajd","year":"2016","unstructured":"SoleymaniMajd H, Ferrari F, Manek S, Gubbala K, Campanile RG, Hardern K et al (2016) Diaphragmatic peritonectomy vs. full thickness resection with pleurectomy during Visceral-Peritoneal Debulking (VPD) in 100 consecutive patients with stage IIIC-IV ovarian cancer: A surgical-histological analysis. Gynecol Oncol [Internet] 140(3):430\u20135. https:\/\/doi.org\/10.1016\/j.ygyno.2015.12.004","journal-title":"Gynecol Oncol [Internet]"},{"issue":"1","key":"3611_CR24","doi-asserted-by":"publisher","first-page":"250","DOI":"10.1245\/s10434-019-07797-8","volume":"27","author":"BJ Sullivan","year":"2020","unstructured":"Sullivan BJ, Bekhor EY, Carpiniello M, Leigh NL, Pletcher ER, Solomon D et al (2020) Diaphragmatic Peritoneal stripping versus full-thickness resection in CRS\/HIPEC: Is there a difference? Ann Surg Oncol [Internet] 27(1):250\u2013258. https:\/\/doi.org\/10.1245\/s10434-019-07797-8","journal-title":"Ann Surg Oncol [Internet]"},{"issue":"3","key":"3611_CR25","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1016\/j.ygyno.2009.07.014","volume":"116","author":"D Tsolakidis","year":"2010","unstructured":"Tsolakidis D, Amant F, Van Gorp T, Leunen K, Neven P, Vergote I (2010) Diaphragmatic surgery during primary debulking in 89 patients with stage IIIB-IV epithelial ovarian cancer. Gynecol Oncol 116(3):489\u2013496. https:\/\/doi.org\/10.1016\/j.ygyno.2009.07.014","journal-title":"Gynecol Oncol"},{"issue":"5","key":"3611_CR26","doi-asserted-by":"publisher","first-page":"861","DOI":"10.3892\/ol_00000152","volume":"1","author":"F Terauchi","year":"2010","unstructured":"Terauchi F, Okamoto A, Wada Y, Hasegawa E, Sasaki T, Akutagawa O et al (2010) Incidental events of diaphragmatic surgery in 82 patients with advanced ovarian, primary peritoneal and fallopian tubal cancer. Oncol Lett 1(5):861\u2013864","journal-title":"Oncol Lett"},{"key":"3611_CR27","first-page":"1","volume":"2013","author":"PNJ Pathiraja","year":"2013","unstructured":"Pathiraja PNJ, Garruto-Campanile R, Tozzi R (2013) Diaphragmatic peritonectomy versus full thickness diaphragmatic resection and pleurectomy during cytoreduction in patients with ovarian cancer. Int J Surg Oncol. 2013:1","journal-title":"Int J Surg Oncol."},{"issue":"7","key":"3611_CR28","doi-asserted-by":"publisher","first-page":"1534","DOI":"10.1097\/IGC.0000000000001041","volume":"27","author":"D Querleu","year":"2017","unstructured":"Querleu D, Planchamp F, Chiva L, Fotopoulou C, Barton D, Cibula D et al (2017) European society of gynaecological oncology (ESGO) guidelines for ovarian cancer surgery. Int J Gynecol Cancer 27(7):1534\u20131542","journal-title":"Int J Gynecol Cancer"},{"issue":"5","key":"3611_CR29","doi-asserted-by":"publisher","first-page":"1416","DOI":"10.1245\/s10434-012-2237-2","volume":"19","author":"D Baratti","year":"2012","unstructured":"Baratti D, Kusamura S, Cabras AD, Deraco M (2012) Cytoreductive surgery with selective versus complete parietal peritonectomy followed by hyperthermic intraperitoneal chemotherapy in patients with diffuse malignant peritoneal mesothelioma: A controlled study. Ann Surg Oncol 19(5):1416\u20131424","journal-title":"Ann Surg Oncol"},{"issue":"4","key":"3611_CR30","doi-asserted-by":"publisher","first-page":"359","DOI":"10.6004\/jnccn.2018.0021","volume":"16","author":"AB Benson","year":"2018","unstructured":"Benson AB, Venook AP, Al-Hawary MM, Cederquist L, Chen YJ, Ciombor KK et al (2018) NCCN Guidelines \u00ae Insights Colon Cancer, Version 2.2018 Featured Updates to the NCCN Guidelines. JNCCN J Natl Compr Cancer Netw 16(4):359\u201369","journal-title":"JNCCN J Natl Compr Cancer Netw"},{"issue":"2","key":"3611_CR31","doi-asserted-by":"publisher","first-page":"873","DOI":"10.1245\/s10434-021-10669-9","volume":"29","author":"A Nikiforchin","year":"2022","unstructured":"Nikiforchin A, Gushchin V, Sittig M, Baron E, Lopez-Ramirez F, Nieroda C et al (2022) Outcomes following cytoreductive surgery with hyperthermic intraperitoneal chemotherapy with and without diaphragmatic resection in patients with peritoneal metastases. Ann Surg Oncol 29(2):873\u2013882. https:\/\/doi.org\/10.1245\/s10434-021-10669-9","journal-title":"Ann Surg Oncol"},{"issue":"12 December","key":"3611_CR32","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1371\/journal.pone.0261852","volume":"16","author":"O Sand","year":"2021","unstructured":"Sand O, Andersson M, Arakelian E, Cashin P, Semenas E, Graf W (2021) Severe pulmonary complications after cytoreductive surgery and hyperthermic intraperitoneal chemotherapy are common and contribute to decreased overall survival. PLoS ONE 16(12 December):1\u201312. https:\/\/doi.org\/10.1371\/journal.pone.0261852","journal-title":"PLoS ONE"},{"key":"3611_CR33","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1186\/1477-7819-10-258","volume":"10","author":"E Arakelian","year":"2012","unstructured":"Arakelian E, Torkzad MR, Bergman A, Rubertsson S, Mahteme H (2012) Pulmonary influences on early post-operative recovery in patients after cytoreductive surgery and hyperthermic intraperitoneal chemotherapy treatment: A retrospective study. World J Surg Oncol 10:7\u20139","journal-title":"World J Surg Oncol"},{"issue":"1","key":"3611_CR34","doi-asserted-by":"publisher","first-page":"385","DOI":"10.21037\/apm-20-2334","volume":"10","author":"J Zhao","year":"2021","unstructured":"Zhao J, Zhang Y, Yang X, Wang Z, Song Q, Gong P et al (2021) Risk factors of pleural effusion after cytoreductive surgery and hyperthermic intraperitoneal chemotherapy in late-stage and recurrent ovarian cancer. Ann Palliat Med 10(1):385\u2013391","journal-title":"Ann Palliat Med"},{"issue":"2","key":"3611_CR35","doi-asserted-by":"publisher","first-page":"371","DOI":"10.1097\/IGC.0000000000000597","volume":"26","author":"G Bogani","year":"2016","unstructured":"Bogani G, Ditto A, Martinelli F, Lorusso D, Chiappa V, Donfrancesco C et al (2016) Surgical techniques for diaphragmatic resection during cytoreduction in advanced or recurrent ovarian carcinoma: A systematic review and meta-analysis. Int J Gynecol Cancer 26(2):371\u2013380","journal-title":"Int J Gynecol Cancer"},{"issue":"3","key":"3611_CR36","doi-asserted-by":"publisher","first-page":"53","DOI":"10.22514\/ejgo.2022.011","volume":"43","author":"A Giannini","year":"2022","unstructured":"Giannini A, Beamer SE, Butler KA, Magrina J (2022) Diaphragmatic resection and liver mobilization during surgery for advanced ovarian cancer. Eur J Gynaecol Oncol 43(3):53","journal-title":"Eur J Gynaecol Oncol"},{"issue":"4","key":"3611_CR37","doi-asserted-by":"publisher","first-page":"292","DOI":"10.4274\/tjod.galenos.2020.54781","volume":"17","author":"Y Durmu\u015f","year":"2020","unstructured":"Durmu\u015f Y, Karalok A, \u00c7\u00f6teli SAD, Boran N, \u00dcnsal M, Boyraz G et al (2020) Pulmonary morbidity related to diaphragm surgery performed for gynecological cancers. Turkish J Obstet Gynecol 17(4):292\u2013299","journal-title":"Turkish J Obstet Gynecol"},{"issue":"3","key":"3611_CR38","doi-asserted-by":"publisher","first-page":"406","DOI":"10.1016\/j.ygyno.2015.03.043","volume":"137","author":"P Benedetti Panici","year":"2015","unstructured":"Benedetti Panici P, Di Donato V, Fischetti M, Casorelli A, Perniola G, Musella A et al (2015) Predictors of postoperative morbidity after cytoreduction for advanced ovarian cancer: Analysis and management of complications in upper abdominal surgery. Gynecol Oncol 137(3):406\u2013411. https:\/\/doi.org\/10.1016\/j.ygyno.2015.03.043","journal-title":"Gynecol Oncol"},{"key":"3611_CR39","doi-asserted-by":"publisher","first-page":"134","DOI":"10.1016\/j.jss.2018.03.022","volume":"229","author":"H Cheng","year":"2018","unstructured":"Cheng H, Clymer JW, Po-Han Chen B, Sadeghirad PhDB, Ferko NC, Cameron CG et al (2018) Prolonged operative duration is associated with complications: a systematic review and meta-analysis. J Surg Res [Internet] 229:134\u2013144. https:\/\/doi.org\/10.1016\/j.jss.2018.03.022","journal-title":"J Surg Res [Internet]"},{"issue":"2","key":"3611_CR40","doi-asserted-by":"publisher","first-page":"299","DOI":"10.1016\/j.ygyno.2013.11.026","volume":"132","author":"S Sandadi","year":"2014","unstructured":"Sandadi S, Long K, Andikyan V, Vernon J, Zivanovic O, Eisenhauer EL et al (2014) Postoperative outcomes among patients undergoing thoracostomy tube placement at time of diaphragm peritonectomy or resection during primary cytoreductive surgery for ovarian cancer. Gynecol Oncol [Internet] 132(2):299\u2013302. https:\/\/doi.org\/10.1016\/j.ygyno.2013.11.026","journal-title":"Gynecol Oncol [Internet]"},{"key":"3611_CR41","doi-asserted-by":"publisher","unstructured":"Allievi N, Sidhom M, Samuel MV, Tzivanakis A, Dayal S, Cecil T et al (2024) Survival analysis and recurrence patterns in 555 patients with colorectal peritoneal metastases treated by cytoreductive surgery and hyperthermic intraperitoneal chemotherapy. Ann Surg Oncol. (August). https:\/\/doi.org\/10.1245\/s10434-024-15942-1","DOI":"10.1245\/s10434-024-15942-1"},{"issue":"4","key":"3611_CR42","doi-asserted-by":"publisher","first-page":"323","DOI":"10.1007\/BF02053933","volume":"36","author":"PH Sugarbaker","year":"1993","unstructured":"Sugarbaker PH, Zhu BW, Sese GB, Shmookler B (1993) Peritoneal carcinomatosis from appendiceal cancer: Results in 69 patients treated by cytoreductive surgery and intraperitoneal chemotherapy. Dis Colon Rectum 36(4):323\u2013329","journal-title":"Dis Colon Rectum"}],"container-title":["Langenbeck's Archives of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00423-025-03611-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00423-025-03611-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00423-025-03611-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,25]],"date-time":"2025-01-25T08:26:46Z","timestamp":1737793606000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00423-025-03611-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,25]]},"references-count":42,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["3611"],"URL":"https:\/\/doi.org\/10.1007\/s00423-025-03611-0","relation":{},"ISSN":["1435-2451"],"issn-type":[{"value":"1435-2451","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,25]]},"assertion":[{"value":"28 September 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 January 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 January 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This article does not contain any studies with human participants or animals performed by any of the authors. For this type of study, no ethical approval was required and obtained.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"For this type of study informed consent was not required.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of interest"}}],"article-number":"50"}}