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

Autor: Bartos Adrian, Breazu Caius, Bartos Dana, Ciobanu Lidia, Mitre Calin
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: The Journal of Critical Care Medicine, Vol 3, Iss 4, Pp 158-161 (2017)
Druh dokumentu: article
ISSN: 2393-1817
DOI: 10.1515/jccm-2017-0027
Popis: 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.
Databáze: Directory of Open Access Journals