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

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 insu...

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Autores principales: Bartos, Adrian, Breazu, Caius, Bartos, Dana, Ciobanu, Lidia, Mitre, Calin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: De Gruyter Open 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5769908/
https://www.ncbi.nlm.nih.gov/pubmed/29967890
http://dx.doi.org/10.1515/jccm-2017-0027
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author Bartos, Adrian
Breazu, Caius
Bartos, Dana
Ciobanu, Lidia
Mitre, Calin
author_facet Bartos, Adrian
Breazu, Caius
Bartos, Dana
Ciobanu, Lidia
Mitre, Calin
author_sort Bartos, Adrian
collection PubMed
description 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.
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spelling pubmed-57699082018-07-02 Cytoreduction with Hyperthermic Intraperitoneal Chemotherapy and Renal Insufficiency Related to Diabetes Mellitus: An Anesthetic Challenge Bartos, Adrian Breazu, Caius Bartos, Dana Ciobanu, Lidia Mitre, Calin J Crit Care Med (Targu Mures) Case Report 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. De Gruyter Open 2017-11-08 /pmc/articles/PMC5769908/ /pubmed/29967890 http://dx.doi.org/10.1515/jccm-2017-0027 Text en © 2017 Adrian Bartos et al., published by De Gruyter Open. http://creativecommons.org/licenses/by-nc-nd/4.0 This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.
spellingShingle Case Report
Bartos, Adrian
Breazu, Caius
Bartos, Dana
Ciobanu, Lidia
Mitre, Calin
Cytoreduction with Hyperthermic Intraperitoneal Chemotherapy and Renal Insufficiency Related to Diabetes Mellitus: An Anesthetic Challenge
title Cytoreduction with Hyperthermic Intraperitoneal Chemotherapy and Renal Insufficiency Related to Diabetes Mellitus: An Anesthetic Challenge
title_full Cytoreduction with Hyperthermic Intraperitoneal Chemotherapy and Renal Insufficiency Related to Diabetes Mellitus: An Anesthetic Challenge
title_fullStr Cytoreduction with Hyperthermic Intraperitoneal Chemotherapy and Renal Insufficiency Related to Diabetes Mellitus: An Anesthetic Challenge
title_full_unstemmed Cytoreduction with Hyperthermic Intraperitoneal Chemotherapy and Renal Insufficiency Related to Diabetes Mellitus: An Anesthetic Challenge
title_short Cytoreduction with Hyperthermic Intraperitoneal Chemotherapy and Renal Insufficiency Related to Diabetes Mellitus: An Anesthetic Challenge
title_sort cytoreduction with hyperthermic intraperitoneal chemotherapy and renal insufficiency related to diabetes mellitus: an anesthetic challenge
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5769908/
https://www.ncbi.nlm.nih.gov/pubmed/29967890
http://dx.doi.org/10.1515/jccm-2017-0027
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