{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T12:57:52Z","timestamp":1787317072139,"version":"build-2736575974"},"reference-count":22,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2021,6,9]],"date-time":"2021-06-09T00:00:00Z","timestamp":1623196800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Objective: Peritoneal carcinomatosis is a disease\u2019s presentation in the advanced stages of many gynecologic tumours. The distribution and volume of the disease are the main factors in achieving complete debulking. Diagnostic laparoscopy is a technique to allow evaluation of the disease. This study\u2019s objective is to compare two laparoscopic scores (Fagotti\u2019s index and Sugarbaker\u2019s peritoneal cancer index (PCI)) and assess the diagnostic accuracy to select patients for neoadjuvant treatment and reduce unnecessary laparotomies. Methods: A non-randomised retrospective cohort study was conducted in patients with peritoneal carcinomatosis (ovarian and endometrial origin) who underwent laparoscopy and subsequent laparotomy. We evaluated the scores\u2019 ability to predict incomplete surgery and whether they were related to the patients\u2019 prognosis. Results: We included 34 patients, of which 23.5% received neoadjuvant chemotherapy. The rate of complete cytoreductive surgery was 79.4% (n = 27 patients). The highest sensitivity was obtained with a PCI value greater than 20. It was the best parameter to determine incomplete debulking. Survival curves were analysed according to the \u201ccut off\u201d established for each score, and statically significant differences were found using PCI with respect to Fagotti\u2019s Index. However, these differences were not found with Fagotti\u2019s score. Conclusion: The best diagnostic method to classify patients with peritoneal cancer is the PCI. It could be adapted to each surgical team because it allows identifying the \u201ccut off point\u201d, which depends on incomplete surgery rate.<\/jats:p>","DOI":"10.3390\/jcm10122553","type":"journal-article","created":{"date-parts":[[2021,6,9]],"date-time":"2021-06-09T14:16:04Z","timestamp":1623248164000},"page":"2553","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Comparison of Peritoneal Carcinomatosis Scoring Methods in Predicting Resectability and Prognosis in Gynecologic Malignancies"],"prefix":"10.3390","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2533-7983","authenticated-orcid":false,"given":"Mar\u00eda Teresa","family":"Climent","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, University General Hospital of Castell\u00f3n, 12004 Castell\u00f3n, Spain"},{"name":"Department of Medicine, University of Jaume I, 12071 Castell\u00f3n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7535-057X","authenticated-orcid":false,"given":"Anna","family":"Serra","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University General Hospital of Castell\u00f3n, 12004 Castell\u00f3n, Spain"},{"name":"Department of Medicine, University of Jaume I, 12071 Castell\u00f3n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Gilabert-Estell\u00e9s","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Jaume I, 12071 Castell\u00f3n, Spain"},{"name":"Department of Obstetrics and Gynecology, University General Hospital of Valencia, 46014 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Gilabert-Aguilar","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Jaume I, 12071 Castell\u00f3n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3723-8795","authenticated-orcid":false,"given":"Antoni","family":"Llueca","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University General Hospital of Castell\u00f3n, 12004 Castell\u00f3n, Spain"},{"name":"Department of Medicine, University of Jaume I, 12071 Castell\u00f3n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,6,9]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2771","DOI":"10.2147\/OTT.S147559","article-title":"Peritoneal carcinomatosis index as a predictor of diaphragmatic involvement in stage III and IV ovarian cancer","volume":"11","author":"Llueca","year":"2018","journal-title":"OncoTargets Ther."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Van De Vrie, R., Rutten, M.J., Asseler, J.D., Leeflang, M.M., Kenter, G.G., Mol, B.W., and Buist, M. 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