Perioperative management of patients with cytoreductive surgery for peritoneal carcinomatosis

Autor: Michael Bucher, Christoph Schmidt, E. Grossmann, C. Wiesenack, Bernhard M. Graf, S. Rath, Stefan Moritz, Pompiliu Piso
Rok vydání: 2009
Předmět:
Zdroj: Journal of Surgical Oncology. 100:297-301
ISSN: 0022-4790
DOI: 10.1002/jso.21322
Popis: Cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (HIPEC) has become an important tool in the management of patients with peritoneal malignancies. It is a complex surgical procedure with significant fluid loss during debulking leading to relevant pathophysiological alterations and therefore a challenge for anesthesiologists and critical care physicians. This review summarizes perioperative changes in hemodynamics, oxygen supply, coagulation, hematopoetic parameters and fluid status during cytoreductive surgery and HIPEC and how to deal with these pathophysiological alterations. J. Surg. Oncol. 2009;100:297–301. © 2009 Wiley-Liss, Inc.
Databáze: OpenAIRE