{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:35:35Z","timestamp":1787765735017,"version":"build-2784847793"},"reference-count":26,"publisher":"Wiley","license":[{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["International Journal of Surgical Oncology"],"published-print":{"date-parts":[[2013]]},"abstract":"<jats:p><jats:italic>Objectives<\/jats:italic>. Compare the surgical morbidity of diaphragmatic peritonectomy versus full thickness diaphragmatic resection with pleurectomy at radical debulking.<jats:italic>Design<\/jats:italic>. Prospective cohort study at the Oxford University Hospital.<jats:italic>Methods<\/jats:italic>. All debulking with diaphragmatic peritonectomy and\/or full thickness resection with pleurectomy in the period from April 2009 to March 2012 were part of the study. Analysis is focused on the intra- and postoperative morbidity.<jats:italic>Results<\/jats:italic>. 42 patients were eligible for the study, 21 underwent diaphragmatic peritonectomy (DP, group 1) and 21 diaphragmatic full thickness resection (DR, group 2). Forty patients out of 42 (93%) had complete tumour resection with no residual disease. Histology confirmed the presence of cancer in diaphragmatic peritoneum of 19 patients out of 21 in group 1 and all 21 patients of group 2. Overall complications rate was 19% in group 1 versus 33% in group 2. Pleural effusion rate was 9.5% versus 14.5% and pneumothorax rate was 14.5% only in group 2. Two patients in each group required postoperative chest drains (9.5%).<jats:italic>Conclusions<\/jats:italic>. Diaphragmatic surgery is an effective methods to treat carcinomatosis of the diaphragm. Patients in the pleurectomy group experienced pneumothorax and a higher rate of pleural effusion, but none had long-term morbidity or additional surgical interventions.<\/jats:p>","DOI":"10.1155\/2013\/876150","type":"journal-article","created":{"date-parts":[[2013,12,18]],"date-time":"2013-12-18T17:01:32Z","timestamp":1387386092000},"page":"1-6","source":"Crossref","is-referenced-by-count":4,"title":["Diaphragmatic Peritonectomy versus Full Thickness Diaphragmatic Resection and Pleurectomy during Cytoreduction in Patients with Ovarian Cancer"],"prefix":"10.1155","volume":"2013","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4041-9466","authenticated-orcid":true,"given":"P. N. J.","family":"Pathiraja","sequence":"first","affiliation":[{"name":"Department of Gynaecologic Oncology, Oxford Cancer Centre, Churchill Hospital, Oxford University Hospital, Oxford OX3 7LJ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Garruto-Campanile","sequence":"additional","affiliation":[{"name":"Department of Gynaecologic Oncology, Oxford Cancer Centre, Churchill Hospital, Oxford University Hospital, Oxford OX3 7LJ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Tozzi","sequence":"additional","affiliation":[{"name":"Department of Gynaecologic Oncology, Oxford Cancer Centre, Churchill Hospital, Oxford University Hospital, Oxford OX3 7LJ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"issue":"6","key":"1","doi-asserted-by":"crossref","first-page":"827","DOI":"10.1002\/(SICI)1097-0215(19990315)80:6<827::AID-IJC6>3.0.CO;2-P","volume":"80","year":"1999","journal-title":"International Journal of Cancer Journal International Du Cancer"},{"issue":"2","key":"2","first-page":"74","volume":"55","year":"2005","journal-title":"Ca: A Cancer Journal for Clinicians"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.3802\/jgo.2010.21.2.75"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.24149"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.20.5.1248"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2006.03.051"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0908806"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1006\/gyno.2001.6328"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2006.10.2517"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1006\/gyno.2001.6313"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1006\/gyno.2001.6312"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1006\/gyno.1996.4550"},{"issue":"4","key":"13","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1200\/JCO.1986.4.4.515","volume":"4","year":"1986","journal-title":"Journal of Clinical Oncology"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2008.02.012"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2005.08.027"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2004.04.032"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2008.07.053"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.1016\/0090-8258(89)90074-7"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2006.05.023"},{"key":"23","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2010.10.004"},{"key":"24","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2009.02214.x"},{"key":"25","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2009.07.014"},{"issue":"3","key":"26","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1007\/BF02523654","volume":"7","year":"2000","journal-title":"Annals of Surgical Oncology"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1097\/IGC.0b013e318205fb4f"},{"issue":"1","key":"17","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1097\/01.AOG.0000192407.04428.bb","volume":"107","year":"2006","journal-title":"Obstetrics and Gynecology"}],"container-title":["International Journal of Surgical Oncology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/ijso\/2013\/876150.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/ijso\/2013\/876150.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/ijso\/2013\/876150.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,6,22]],"date-time":"2017-06-22T00:31:17Z","timestamp":1498091477000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/ijso\/2013\/876150\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013]]},"references-count":26,"alternative-id":["876150","876150"],"URL":"https:\/\/doi.org\/10.1155\/2013\/876150","relation":{},"ISSN":["2090-1402","2090-1410"],"issn-type":[{"value":"2090-1402","type":"print"},{"value":"2090-1410","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013]]}}}