Cytoreductive surgery and intraperitoneal chemoteraphy treatment of colorectal originated synchron peritoneal carcinomatosis

Year 2017, Volume: 9 Issue: 3, 57 - 61, 01.12.2017

Kağan Gökçe

Abstract

The main purpose of cytoreductive surgery and intraperitoneal chemotherapy is to treat macroscopic malignant peritoneal disease with cytoreductive surgery CS and, to treat in the same operation if it is possible cell-sized peritoneal microscopic disease with intraperitoneal chemotherapy HIPEC . CS+HIPEC is the standart of care for the treatment of peritoneal pseudomyxomas, peritoneal mesotheliomas and colorectal cancers with limited peritoneal extension. The aim of this case report is to present a 65 years old, male patient with colorectal cancer and synchron peritoneal carcinomatosis, who underwent CS+HIPEC. The patient was followed up for 7 months in postoperative period, no evidence of malignancy was found. There was no loss of labor. Patient’s quality of life was improved. The patient is still under follow-up.

Keywords

Cytoreductive Surgery, Peritoneal Metastases, Hyperthermic Intraperitoneal Chemotherapy, Colorectal Cancer

Kolorektal orjinli senkron peritoneal karsinomatozis tedavisinde sitoredüktif cerrahi ve intraperitoneal kemoterapi uygulaması

Abstract

Sitoredüktif cerrahi SC ve hipertermik intraperitoneal kemoterapinin HİPEK temel amacı makroskopik ve mikroskobik malign peritoneal hastalığı tedavi etmektir. Sitoredüktif cerrahi ile makroskopik, mümkünse aynı operasyonda yapılan hipertermik intraperitoneal kemoterapi ile hücre boyutundaki mikroskobik peritoneal hastalık tedavi edilmektedir. SC+HİPEK peritoneal pseudomiksoma, peritoneal mezotelyoma ve limitli peritoneal yayılımı olan kolorektal kanserlerde standart tedavi yaklaşımıdır. Bu vaka sunumunun amacı SC+HİPEK operasyonu geçirmiş, senkron peritoneal yayılımı olan kolorektal kanserli 65 yaşındaki erkek hastanın değerlendirilmesidir. Hasta postoperatif dönemde 7 ay boyunca takip edildi, kanser lehine bulguya rastlanmadı. Hastanın cerrahi sonrasında işgücü ve yaşam kalitesi kaybı olmadı. Hasta halen takip altındadır.

Keywords

Sitoredüktif Cerrahi, Peritoneal Metastaz, Hipertermik İntraperitoneal Kemoterapi, Kolorektal Kanser

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