A simplified approach to hyperthermic intraoperative intraperitoneal chemotherapy (HIIC) using a self retaining retractor

Sugarbaker, Paul H.; Averbach, Andrew; Jacquet, Pierre; Stephens, A. D.; Stuart, O. Anthony

doi:10.1007/978-1-4613-1247-5_26

Cited by 62 publications

(45 citation statements)

References 8 publications

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“…All patients received crystalloids, colloids, and fresh frozen plasma (mean, 4.8; range, 2-12) during the operation, whereas 27 patients were transfused with red blood cells (mean, 2.8; range, [1][2][3][4][5][6]. No serious intraoperative complications during HIPEC were recorded.…”

Section: Resultsmentioning

confidence: 99%

“…[1][2][3] It is a complex procedure that includes abdominal and pelvic peritonectomies with combined organ resections in order to eradicate all macroscopic disease, and then perfusion of the abdominal cavity with heated chemotherapeutic agents, in an effort to eradicate all microscopic residual disease. 4 The indications of the method continue to expand because favorable 5-year survival rates were observed in low-grade malignancies, such as peritoneal adenomucinosis.…”

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confidence: 99%

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Hemodynamic Monitoring During Heated Intraoperative Intraperitoneal Chemotherapy Using the FloTrac/Vigileo System

Mavroudis¹,

Alevizos²,

Stamou³

et al. 2015

International Surgery

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Cytoreductive surgery with HIPEC has provided a chance for long-term survival in selected patients. However, perioperative management remains a challenge for the anesthesiology team. The aim of this study was to evaluate the changes in hemodynamic parameters during hyperthermic intraperitoneal chemotherapy (HIPEC) using the FloTrac/ Vigileo system. Forty-one consecutive patients undergoing cytoreductive surgery and HIPEC were enrolled. Heart rate (HR), esophageal temperature, and cardiac output (CO) steadily increased until the end of HIPEC. In the first half of HIPEC, systolic blood pressure (SBP) and central venous pressure (CVP) increased whereas systemic vascular resistance (SVR) decreased; SVR stabilized in the second half. Diastolic blood pressure (DBP), mean arterial pressure (MAP), and stroke volume (SV) showed no significant variation. Male gender was related to increased CVP, CO, and SV, and decreased SVR; age .55 years was related to increased SBP, and peritoneal cancer index (PCI) was correlated with HR, DBP, and SV. PCI .14 was associated with increased HR and decreased DBP and MAP. American Society of Anesthesiologists score .1 was related to decreased CO and SV. Patients undergoing HIPEC develop a hyperdynamic circulatory state because of the increased temperature, characterized by a steady decrease in SVR and continuous increase in HR and CO. FloTrac/Vigileo system may provide an easy-to-handle, noninvasive monitoring tool.

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Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

Hemodynamic Monitoring During Heated Intraoperative Intraperitoneal Chemotherapy Using the FloTrac/Vigileo System

Mavroudis¹,

Alevizos²,

Stamou³

et al. 2015

International Surgery

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“…During the hyperthermic intraoperative intraperitoneal chemotherapy, a similar dissection using thumb and index finger clears these vessels in the presence of high concentrations of chemotherapy. An attempt to clear the area of residual malignaney is an important part of the chemotherapy administration by the Coliseum technique [11].…”

Section: Discussionmentioning

confidence: 99%

Cholecystectomy, lesser omentectomy, and stripping of the omental bursa: A peritonectomy procedure

Vazquez¹,

Sugarbaker²

2003

Journal of Surgical Oncology

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“…Sugarbaker et al [14] described an ''open technique'' that allowed repeated manual separation of viscera. By dye studies, this produced a more uniform distribution of the cytotoxic agent and the heat.…”

Section: Introductionmentioning

confidence: 99%

A simplified approach to hyperthermic intraoperative intraperitoneal chemotherapy (HIIC) using a self retaining retractor

Cited by 62 publications

References 8 publications

Hemodynamic Monitoring During Heated Intraoperative Intraperitoneal Chemotherapy Using the FloTrac/Vigileo System

Hemodynamic Monitoring During Heated Intraoperative Intraperitoneal Chemotherapy Using the FloTrac/Vigileo System

Cholecystectomy, lesser omentectomy, and stripping of the omental bursa: A peritonectomy procedure

An instrument to provide containment of intraoperative intraperitoneal chemotherapy with optimized distribution

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