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Comment & Response
August 14, 2019

Combination of Surgery With Extensive Intraoperative Peritoneal Lavage for Patients With Advanced Gastric Cancer

Author Affiliations
  • 1Department of Surgery, Federal University of Pernambuco-UFPE, Recife, Pernambuco, Brazil
  • 2Department of Surgery/Oncology, Instituto de Medicina Integral Professor Fernando Figueira-IMIP, Recife, Pernambuco, Brazil
JAMA Surg. Published online August 14, 2019. doi:10.1001/jamasurg.2019.2655

To the Editor The article by Guo et al1 presents initial findings for the SEIPLUS study, a randomized clinical trial exploring the value of extensive intraoperative peritoneal lavage (EIPL) for treatment of locally advanced gastric cancer. As highlighted by Levine2 in an accompanying Invited Commentary, the accrual for this trial occurred during a remarkably short period, and EIPL appears to be a simple, safe, and low-cost method to decrease the peritoneal metastases rates.

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