Anesthesia management of CRS and HIPEC in advanced ovarian cancer with ultra-high intra-abdominal pressure: a case report

Cytoreductive surgery (CRS) combined with hyperthermic intraperitoneal chemotherapy (HIPEC) is a leading treatment for advanced ovarian cancer, significantly improving overall survival and disease-free survival. This case involves a patient with peritoneal metastasis and ultra-high intra-abdominal p...

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Main Authors: Suli Chen, Yanjun Lin, Shuncai Gao, Shuo Liu, Zhanmin Yang, Ruiqing Ma, Liangyuan Lu
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-11-01
Series:Frontiers in Oncology
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Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2024.1449171/full
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author Suli Chen
Yanjun Lin
Shuncai Gao
Shuo Liu
Zhanmin Yang
Ruiqing Ma
Liangyuan Lu
author_facet Suli Chen
Yanjun Lin
Shuncai Gao
Shuo Liu
Zhanmin Yang
Ruiqing Ma
Liangyuan Lu
author_sort Suli Chen
collection DOAJ
description Cytoreductive surgery (CRS) combined with hyperthermic intraperitoneal chemotherapy (HIPEC) is a leading treatment for advanced ovarian cancer, significantly improving overall survival and disease-free survival. This case involves a patient with peritoneal metastasis and ultra-high intra-abdominal pressure (36 mmHg). CRS + HIPEC induces extensive pathological and physiological changes affecting respiratory, circulatory, renal, coagulation, and metabolic systems. Effective perioperative anesthesia management, including the type and volume of fluids administered, is crucial for optimizing patient outcomes. The complexities of anesthesia management in such cases present significant challenges.
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publisher Frontiers Media S.A.
record_format Article
series Frontiers in Oncology
spelling doaj-art-a24d45c10d364498a079bd173f509c972024-11-27T06:33:03ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2024-11-011410.3389/fonc.2024.14491711449171Anesthesia management of CRS and HIPEC in advanced ovarian cancer with ultra-high intra-abdominal pressure: a case reportSuli Chen0Yanjun Lin1Shuncai Gao2Shuo Liu3Zhanmin Yang4Ruiqing Ma5Liangyuan Lu6Department of Anesthesiology, Aerospace Center Hospital, Peking University Aerospace School of Clinical Medicine, Beijing, ChinaDepartment of Anesthesiology, Aerospace Center Hospital, Peking University Aerospace School of Clinical Medicine, Beijing, ChinaDepartment of Anesthesiology, Aerospace Center Hospital, Peking University Aerospace School of Clinical Medicine, Beijing, ChinaDepartment of Anesthesiology, Aerospace Center Hospital, Peking University Aerospace School of Clinical Medicine, Beijing, ChinaDepartment of Anesthesiology, Aerospace Center Hospital, Peking University Aerospace School of Clinical Medicine, Beijing, ChinaDepartment of Myxomatology, Aerospace Center Hospital, Peking University Aerospace School of Clinical Medicine, Beijing, ChinaDepartment of Anesthesiology, Aerospace Center Hospital, Peking University Aerospace School of Clinical Medicine, Beijing, ChinaCytoreductive surgery (CRS) combined with hyperthermic intraperitoneal chemotherapy (HIPEC) is a leading treatment for advanced ovarian cancer, significantly improving overall survival and disease-free survival. This case involves a patient with peritoneal metastasis and ultra-high intra-abdominal pressure (36 mmHg). CRS + HIPEC induces extensive pathological and physiological changes affecting respiratory, circulatory, renal, coagulation, and metabolic systems. Effective perioperative anesthesia management, including the type and volume of fluids administered, is crucial for optimizing patient outcomes. The complexities of anesthesia management in such cases present significant challenges.https://www.frontiersin.org/articles/10.3389/fonc.2024.1449171/fullovarian cancercytoreductive surgeryhyperthermic intraperitoneal chemotherapyintra-abdominal hypertensionanesthetic managementgoal-directed fluid therapy
spellingShingle Suli Chen
Yanjun Lin
Shuncai Gao
Shuo Liu
Zhanmin Yang
Ruiqing Ma
Liangyuan Lu
Anesthesia management of CRS and HIPEC in advanced ovarian cancer with ultra-high intra-abdominal pressure: a case report
Frontiers in Oncology
ovarian cancer
cytoreductive surgery
hyperthermic intraperitoneal chemotherapy
intra-abdominal hypertension
anesthetic management
goal-directed fluid therapy
title Anesthesia management of CRS and HIPEC in advanced ovarian cancer with ultra-high intra-abdominal pressure: a case report
title_full Anesthesia management of CRS and HIPEC in advanced ovarian cancer with ultra-high intra-abdominal pressure: a case report
title_fullStr Anesthesia management of CRS and HIPEC in advanced ovarian cancer with ultra-high intra-abdominal pressure: a case report
title_full_unstemmed Anesthesia management of CRS and HIPEC in advanced ovarian cancer with ultra-high intra-abdominal pressure: a case report
title_short Anesthesia management of CRS and HIPEC in advanced ovarian cancer with ultra-high intra-abdominal pressure: a case report
title_sort anesthesia management of crs and hipec in advanced ovarian cancer with ultra high intra abdominal pressure a case report
topic ovarian cancer
cytoreductive surgery
hyperthermic intraperitoneal chemotherapy
intra-abdominal hypertension
anesthetic management
goal-directed fluid therapy
url https://www.frontiersin.org/articles/10.3389/fonc.2024.1449171/full
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