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Sitoredüktif cerrahi ve HİPEC sonrası gelişen bir intraabdominal apse ve plevral efüzyon olgusu

Year 2015, Volume: 8 Issue: 2, 64 - 66, 01.06.2015

Abstract

Sitoredüktif cerrahi ve hipertermik intraperitoneal kemoterapi son yıllarda peritoneal metastazı olan
hastalarda yeni bir tedavi seçeneği olmuştur. Bu olgu sunumunda 42 yaşında bayan hasta pelvik kitle nedeni ile
kadın hastalıkları ekibi tarafından opere edilmişti. Eksplorasyonda karın içinde malign görünümlü büyük bir
kitle tespit edildi. Kolon mezenteri ve peritonda multipl metastatik lezyonlar mevcuttu. Subtotal kolektomi,
omentektomi, peritonektomi, splenektomi, kolesistektomi ve omentum minus eksizyonu yapıldı. Sitoredüktif
cerrahi sonrası HİPEK uygulandı. Postoperatif dönemde zorlukla tedavi edilen intraabdominal apse ve plevral
efüzyon görüldü. Sonuçta sitoredüktif cerrahi ve HİPEK son yıllarda peritoneal karsinomatozada daha sık uygulanır
hale gelmiştir. Plevral efüzyon ve intraabdominal apse gelişimi postoperatif dönemde önemli problemler
olabilir.

AN INTRAABDOMINAL ABSCESS AND PLEURAL EFFUSION AFTER CYTOREDUCTIVE SURGERY AND HIPEC

Year 2015, Volume: 8 Issue: 2, 64 - 66, 01.06.2015

Abstract

Cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (HIPEC) has became a new treatment option in last years form any patients with peritoneal metastasis. In this case report, a 42 years old women was operated by gynecologists due to pelvic mass. On exploration, there was huge intraabdominal, omental mass with malignant appreance. There were multiple metastatic lesions on peritoneal surface sand in all colon mesentery. Subtotal colectomy, omentectomy, peritonectomy, splenectomy, cholecystectomy and resection of omentum minus were performed. After cytoreductive surgery, HIPEC with cisplatin was used. There were an intraabdominal abscess and pleural effusion which were treated hardly. In conclusion, CRS and HIPEC are becaming a more commonly performed treatment modalities in patients with peritoneal carcinomatosis. Pulmonary effusion and resistant intraabdominal infections can be important problems in postoperative period.

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Details

Other ID JA94PG39KE
Journal Section Case Report
Authors

Bülent Kaya This is me

Nuriye Esen This is me

Orhan Bat This is me

Aziz Şener This is me

Azime Cezik This is me

Publication Date June 1, 2015
Submission Date June 1, 2015
Published in Issue Year 2015 Volume: 8 Issue: 2

Cite

Vancouver Kaya B, Esen N, Bat O, Şener A, Cezik A. AN INTRAABDOMINAL ABSCESS AND PLEURAL EFFUSION AFTER CYTOREDUCTIVE SURGERY AND HIPEC. JSurgArts. 2015;8(2):64-6.

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