Anesthesia Management and Perioperative Outcomes in Patients Undergoing Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy

Autor: Zekeriyya Alanoglu, Özlem Selvi Can, Çiğdem Yıldırım Güçlü, Çağıl Vural, Süheyla Karadağ Erkoç, Neslihan Alkis
Rok vydání: 2020
Předmět:
Zdroj: Ankara Üniversitesi Tıp Fakültesi Mecmuas, Vol 73, Iss 3, Pp 276-282 (2020)
ISSN: 1307-5608
Popis: Objectives:Cytoreductive surgery (SRC) and hyperthermic intraperitoneal chemotherapy (HIPEC) implementation is a prolonged and complex procedure. Major blood and fluid loss, hemodynamic, hematological and metabolic changes are associated with high morbidity and mortality in the perioperative period. In this study, patients who underwent SRC and HIPEC in our operating room were retrospectively analyzed.Materials and Methods:The files of 26 patients who underwent SRC and HIPEC were reviewed retrospectively. Preoperative, intraoperative and postoperative records were examined, blood/blood product and fluid replacements, metabolic changes, postoperative complications, length of stay in intensive care and hospital and mortality rates were evaluated.Results:There were 26 patients included in the study, 7 of them were male and 19 were female. The primary diagnoses of the patients were ovarian cancer (42.3%), colorectal cancer (15.3%), malignant peritoneal mesothelioma (15.3%), pseudomyxoma peritonei (11.5%) and other malignant diseases (15.3%). There was a decrease in postoperative hemoglobin, hematocrit, platelet and albumin values compared to preoperative values (p
Databáze: OpenAIRE