2 research outputs found
FIRST SYNCHRONOUS LIVER RESECTION AS A PART OF CYTOREDUCTIVE SURGERY, PERITONECTOMY AND HIPEC IN CROATIA ā CASE REPORT
Prikazujemo sluÄaj tridesetsedmogodiÅ”nje bolesnice s velikim adenokarcinomom popreÄnoga debelog crijeva te metastazama u slezeni, jetri, peritoneumu, velikom omentumu, žuÄnome mjehuru, desnom jajniku i jajovodu. Nakon premjeÅ”taja bolesnice u naÅ”u Bolnicu iz vanjske ustanove provedena je opsežna citoreduktivna kirurgija s multiorganskim resekcijama i hipertermijskom intraabdominalnom kemoterapijom (HIPEC). Nekoliko mjeseci kasnije ponovo je podvrgnuta kirurÅ”kom lijeÄenju zbog novootkrivene metastaze u 7. jetrenom segmentu i ona je ukonjena. Kemoterapijske cikluse primala je tijekom cijeloga postoperativnog perioda. Danas, dvije godine nakon prve operacije, bolesnica je subjektivno bez tegoba i bez znakova recidiva bolesti. Agresivna citoreduktivna kirurgija koja ukljuÄuje multiorganske resekcije, peritonektomiju, HIPEC dokazano je primjenjiv naÄin lijeÄenja u odreÄenih skupina bolesnika s uznapredovalim abdominalnim tumorima, u sklopu Äega je i sinkrona resekcija jetre. Ovo je prva sinkrona resekcija jetre u sklopu redovito provoÄene citoreduktivne kirurgije i HIPEC-a u Hrvatskoj.We present a case of a 37-year-old female, with large adenocarcinoma of transverse colon, and metastases in spleen, liver, peritoneum, greater omentum, gall bladder and right adnexa. She was transferred to our Hospital, and extensive elective cytoreductive surgery with intraabdominal hyperthermal chemotherapy (HIPEC) was performed. Couple of months later, she was operated on for a newly evidenced secondary nodus in liver segment VII, and metastasectomy was performed. Throughout entire postoperative period she was receiving cyclic chemotherapy. At this point, 2 years from the first operation, she was without evidenced recurrence of the disease. Aggressive cytoreductive surgery with multiorgan resection, peritonectomy, HIPEC and adjuvant chemotherapy which was proved to be a feasible option in some patients, with synchronous liver resection (LR) proved to be feasible and beneficial for patients with three or fewer liver metastases. This is the first liver resection included in usually performed cytoreductive surgery and HIPEC in Croatia
Prva sinkrona resekcija jetre u sklopu citoreduktivne kirurgije, peritonektomije i HIPEC-a u Hrvatskoj ā prikaz bolesnice [First synchronous liver resection as a part of cytoreductive surgery, peritonectomy and HIPEC in Croatia - case report]
We present a case of a 37-year-old female, with large adenocarcinoma of transverse colon, and metastases in spleen, liver, peritoneum, greater omentum, gall bladder and right adnexa. She was transferred to our Hospital, and extensive elective cytoreductive surgery with intraabdominal hyperthermal chemotherapy (HIPEC) was performed. Couple of months later, she was operated on for a newly evidenced secondary nodus in liver segment VII, and metastasectomy was performed. Throughout entire postoperative period she was receiving cyclic chemotherapy. At this point, 2 years from the first operation, she was without evidenced recurrence of the disease. Aggressive cytoreductive surgery with multiorgan resection, peritonectomy, HIPEC and adjuvant chemotherapy which was proved to be a feasible option in some patients, with synchronous liver resection (LR) proved to be feasible and beneficial for patients with three or fewer liver metastases. This is the first liver resection included in usually performed cytoreductive surgery and HIPEC in Croatia