Canceled procedures
abdomen and/or bowel lesions
METASTASES
230 scheduled PIPAC procedures in 108 patients were screened in this study resulting in 189 PIPAC procedures carried out in 82 patients.Forty-one PIPAC procedures had to be canceled: In nine cases, patients were hospitalized for a planned PIPAC procedure but presented in a much worse condition during preoperative preparations, compared to their health status during preliminary examination (e.g., new distant metastases detected in a preoperative CT scan). Therefore, nine PIPAC procedures were rescinded before initiating surgery. In three instances, there were aspirations while inducing anesthesia. No chemotherapeutic agent was applied in seven diagnostic laparoscopies because no PSM was detected. Twenty-two PIPAC procedures could not be carried out because of a non-access abdomen and/or bowel lesions (Fig. Flowchart of included patients and PIPAC procedures and reasons, why scheduled PIPAC procedures were not carried out. 