{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T23:52:01Z","timestamp":1787701921957,"version":"build-2784847793"},"reference-count":22,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,1,19]],"date-time":"2024-01-19T00:00:00Z","timestamp":1705622400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) is the standard of care for selected cases of peritoneal surface malignancy. However, due to its morbidity and learning curve, it is only delivered in six centres in Australia and Aotearoa New Zealand (AoNZ). In this study, we report peri\u2010operative morbidity and mortality following CRS\/HIPEC at Waikato and Braemar Hospitals, which have treated patients from all regions of AoNZ since 2008.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively reviewed a database of all patients undergoing CRS and HIPEC from 01\/01\/2008 to 01\/11\/2020 at Waikato and Braemar Hospitals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two\u2010hundred and forty procedures were performed for 221 patients with a mean age of 55, including 22 (9.2%) re\u2010do procedures. One hundred and eighty\u2010six cases were European, 32 were M\u0101ori, and 16 were Pasifika. There were 152 pseudomyxoma peritonei, 39 colorectal adenocarcinomas, 29 appendiceal cancers, 8 ovarian cancers, 6 peritoneal mesothelioma, and 6 other tumour types. The median PCI was 16. HIPEC was administered to 196 out of 196 CC0\/1 cases (100%) and 3 out of 44 CC2\/3 cases (6.8%). Fifty\u2010six cases (23.3%) had at least one major complication. There were two mortalities (0.8%) within 30\u2009days. The median length of stay was 11\u2009days. Operative duration was identified as an independent risk factor for major complications. There was considerable variation in the number of referrals from different regions of AoNZ. Over time, a decline in major complication rate is seen with increased case volume.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The Waikato region has achieved favourable short\u2010term outcomes following CRS\/HIPEC.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.18833","type":"journal-article","created":{"date-parts":[[2024,1,19]],"date-time":"2024-01-19T10:09:53Z","timestamp":1705658993000},"page":"614-620","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy in New Zealand: peri\u2010operative outcomes and service development over a decade"],"prefix":"10.1111","volume":"94","author":[{"given":"Jia Hui","family":"Lim","sequence":"first","affiliation":[{"name":"Department of General Surgery Te Whatu Ora Waikato  Hamilton New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2167-1500","authenticated-orcid":false,"given":"Rennie Xinrui","family":"Qin","sequence":"additional","affiliation":[{"name":"Department of General Surgery Te Whatu Ora Waikato  Hamilton New Zealand"},{"name":"School of Population Health, Faculty of Medical and Health Sciences University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jasen","family":"Ly","sequence":"additional","affiliation":[{"name":"Department of General Surgery Te Whatu Ora Waikato  Hamilton New Zealand"},{"name":"Waikato Clinical Campus, Faculty of Medical and Health Sciences University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3366-5629","authenticated-orcid":false,"given":"Jesse","family":"Fischer","sequence":"additional","affiliation":[{"name":"Department of General Surgery Te Whatu Ora Waikato  Hamilton New Zealand"},{"name":"Waikato Clinical Campus, Faculty of Medical and Health Sciences University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of General Surgery Te Whatu Ora Waikato  Hamilton New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mosese","family":"Karalus","sequence":"additional","affiliation":[{"name":"Department of General Surgery Te Whatu Ora Waikato  Hamilton New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linus","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of General Surgery Te Whatu Ora Waikato  Hamilton New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roelof","family":"van Dalen","sequence":"additional","affiliation":[{"name":"Department of General Surgery Te Whatu Ora Waikato  Hamilton New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simione","family":"Lolohea","sequence":"additional","affiliation":[{"name":"Department of General Surgery Te Whatu Ora Waikato  Hamilton New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,1,19]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-005-0205-6"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2020.02.012"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1515\/pp-2016-0010"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-014-3978-x"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surge.2020.08.016"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2011.39.7166"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e318202f026"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2010.01.006"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3182436c28"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-014-4111-x"},{"key":"e_1_2_8_12_1","first-page":"33","article-title":"Short\u2010term outcomes following cytoreductive surgery and heated intra\u2010peritoneal chemotherapy at Waikato","volume":"130","author":"Ly NJ","year":"2017","journal-title":"N. Z. Med. J."},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4613-1247-5_23"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-019-04239-4"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.13152"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.16627"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.14985"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/0310057X18811993"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2020.01.017"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1515\/pp-2020-0139"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2021.02.015"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.15331"},{"key":"e_1_2_8_23_1","first-page":"31","article-title":"Treating pseudomyxoma peritonei without heated intraperitoneal chemotherapy: a first look in New Zealand","volume":"127","author":"Wheeler BR","year":"2014","journal-title":"N. 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