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[First synchronous liver resection as a part of cytoreductive surgery, peritonectomy and HIPEC in Croatia--case report].

Authors
  • Budak, Ana Majsec
  • Škegro, Mate
  • Majerović, Mate
  • Smud, Dubravko
  • Jelinčić, Željko
  • Kinda, Emil
  • Kekez, Tihomir
  • Augustin, Goran
  • Silovski, Hrvoje
  • Matošević, Petar
  • Bruketa, Tomislav
Type
Published Article
Journal
Lijec̆nic̆ki vjesnik
Publication Date
Jan 01, 2015
Volume
137
Issue
3-4
Pages
87–90
Identifiers
PMID: 26065285
Source
Medline
License
Unknown

Abstract

We present a case of a 37-year-old female, with large adenocarcinoma of transverse colon, and metastases in spleen, liver, peritoneum, greater omentum, gall bladder and right adnexa. She was transferred to our Hospital, and extensive elective cytoreductive surgery with intraabdominal hyperthermal chemotherapy (HIPEC) was performed. Couple of months later, she was operated on for a newly evidenced secondary nodus in liver segment VII, and metastasectomy was performed. Throughout entire postoperative period she was receiving cyclic chemotherapy. At this point, 2 years from the first operation, she was without evidenced recurrence of the disease. Aggressive cytoreductive surgery with multiorgan resection, peritonectomy, HIPEC and adjuvant chemotherapy which was proved to be a feasible option in some patients, with synchronous liver resection (LR) proved to be feasible and beneficial for patients with three or fewer liver metastases. This is the first liver resection included in usually performed cytoreductive surgery and HIPEC in Croatia.

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