Cytoreduction with Hyperthermic Intraperitoneal Chemotherapy and Renal Insufficiency Related to Diabetes Mellitus: An Anesthetic Challenge

Adrian Bartos; Caius Breazu; Dana Bartos; Lidia Ciobanu; Calin Mitre

doi:10.1515/jccm-2017-0027

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Cytoreduction with Hyperthermic Intraperitoneal Chemotherapy and Renal Insufficiency Related to Diabetes Mellitus: An Anesthetic Challenge

The Journal of Critical Care Medicine

Volume 3 (2017): Issue 4 (October 2017)

By: Adrian Bartos, Caius Breazu, Dana Bartos, Lidia Ciobanu and Calin Mitre

Open Access

|Nov 2017

Abstract

Cytoreductive surgery (CRS) combined with hyperthermic intraperitoneal chemotherapy (HIPEC) improves the prognosis in selected patients with peritoneal surface malignancies but it is an extensive procedure predisposing to major complications. Among them renal toxicity was reported. Severe renal insufficiency is considered a contraindication for this complex procedure. We present a patient with diabetic nephropathy with renal insufficiency KDOQI 3 and peritoneal metastasis from sigmoid adenocarcinoma with a good clinical outcome after CRS with HIPEC, highlighting the anesthetic precautions considered for this particular clinical case.

References

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Articles in this issue

DOI: https://doi.org/10.1515/jccm-2017-0027 | Journal eISSN: 2393-1817 | Journal ISSN: 2393-1809

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Language: English

Page range: 158 - 161

Submitted on: Jul 17, 2017

Accepted on: Oct 4, 2017

Published on: Nov 8, 2017

Published by: University of Medicine, Pharmacy, Science and Technology of Targu Mures

In partnership with: Paradigm Publishing Services

Publication frequency: 4 issues per year

Keywords:

acute renal failure,

cytoreductive surgery,

hyperthermic intraperitoneal chemotherapy,

Related subjects:

Internal medicine, other,

Surgery,

Surgery, other,

Anaesthesiology,

Emergency medicine and intensive-care medicine

© 2017 Adrian Bartos, Caius Breazu, Dana Bartos, Lidia Ciobanu, Calin Mitre, published by University of Medicine, Pharmacy, Science and Technology of Targu Mures
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Volume 3 (2017): Issue 4 (October 2017)