Inclusion criteria
stroke, peritoneal cancer, Heart Association;HIV infection, heart failure, infarction
METASTASIS, STROKE, PERITONEAL CANCER, ONCOLOGY, HEART FAILURE, INFARCTION
Gastric adenocarcinoma;Age between 18 and 75 years;Eastern Cooperative Oncology Group (ECOG) performance scale 0 or 1;Body mass index (BMI)=18 kg/m²;Presence of PC with intraoperative identification and confirmed by biopsies and/or positive oncotic cytology;Presence of exclusively peritoneal metastasis with peritoneal cancer index (PCI) of ≤12, diagnosed by SL;Patients must have sufficient organ function as follows: Total leukocyte count=3,000/mmAbsolut neutrophil count=1,500/mmHemoglobin=8 g/dL;Platelet count=100,000/mmTotal bilirubin <2 mg/dL;Serum alanine transaminase (ALT), aspartate transaminase (AST), alkaline phosphatase (ALP), and gamma-glutamyltransferase (GGT): less than three times the upper reference limit. Creatinine clearance=50 mL/min.Expected survival period of ≥6 months.Exclusion criteriaSynchronic or metachronous neoplasms;Previous chemotherapy or radiotherapy for GC;Clinical conditions considered critical for this study by the investigator;Digestive tract obstruction (unless gastric bypass can be performed) and bleeding;Functional class II/III/IV heart failure by the New York Heart Association;HIV infection or chronic use of immunosuppressants;Myocardial infarction and stroke in the past 6 months;Pregnancy.