We do not have the actual survival results as of now but the interim survival results suggest that at least the platinum-free interval in patients undergoing total peritonectomy is far superior compared to those undergoing selective peritonectomy in our cohort of retrospective patients. Given that it is a bigger operation and we are spending significantly longer time and there’s significantly more blood loss during these surgeries but it is circumvented if you have a good critical care team which takes care of these problems in the immediate post-operative period...
We do not have the actual survival results as of now but the interim survival results suggest that at least the platinum-free interval in patients undergoing total peritonectomy is far superior compared to those undergoing selective peritonectomy in our cohort of retrospective patients. Given that it is a bigger operation and we are spending significantly longer time and there’s significantly more blood loss during these surgeries but it is circumvented if you have a good critical care team which takes care of these problems in the immediate post-operative period. And as I mentioned, that the platinum-free survival and maybe the overall survival later will suggest that these immediate post-operative complications are a good trade-off when we look at the bigger picture. we cannot actually run a randomized controlled trial because there comes a problem of the ethics because it’s not a standard of care. But we do have a prospective non-randomized multinational study called the Torpedo 2 study which we are a part of wherein centers who are performing total peritonectomy are comparing the results with centers who are performing selective peritonectomy and I think in the next decade we will know the actual results.
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