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We aimed to determine the value of laparoscopy to assess the intra-abdominal tumor extent and predict complete cytoreduction. All patients at our department in the period from 2017 to 2021 that underwent laparoscopy to assess peritoneal metastasis and subsequent open exploration with the intention to perform cytoreductive surgery(CRS) with HIPEC were retrospectively identified in a continuously maintained database. Forty-three patients were analyzed. Peritoneal cancer index (PCI) determination by laparoscopy compared to open surgery was o