ABSTRACT
The association between chemotherapy and hypertermia produces a synergic effect. In this study the Authors present their experience, by the analysis of the results. From 1993 to 2000, 17 patients have been treated with surgery associated with hypertermic chemotherapy for peritoneal carcinomatosis. For the management of these patients a constant cooperation among surgeon, cardiologist and anaesthetist is very important.
Subject(s)
Antineoplastic Combined Chemotherapy Protocols/adverse effects , Carcinoma/secondary , Cardiovascular Diseases/etiology , Hyperthermia, Induced/adverse effects , Peritoneal Neoplasms/secondary , Adult , Aged , Aged, 80 and over , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Appendiceal Neoplasms/pathology , Breast Neoplasms/surgery , Carcinoid Tumor/secondary , Carcinoma/drug therapy , Carcinoma/surgery , Carcinoma/therapy , Carcinoma, Ductal, Breast/surgery , Cardiovascular Diseases/physiopathology , Cisplatin/administration & dosage , Cisplatin/adverse effects , Colonic Neoplasms/pathology , Combined Modality Therapy , Female , Humans , Male , Middle Aged , Neoplasm Seeding , Neoplasms, Second Primary , Ovarian Neoplasms/pathology , Peritoneal Neoplasms/drug therapy , Peritoneal Neoplasms/surgery , Peritoneal Neoplasms/therapy , Retrospective Studies , Stomach Neoplasms/pathology , Treatment OutcomeABSTRACT
Bile duct carcinomas are known to be difficult to cure, due to frequent locoregional recurrence even after radical resection. The Authors analyze their experience in a study about 53 patients treated between October 1991-January 2002.
Subject(s)
Adenocarcinoma/surgery , Common Bile Duct Neoplasms/surgery , Adenocarcinoma/complications , Adenocarcinoma/diagnosis , Adenocarcinoma/epidemiology , Aged , Aged, 80 and over , Anastomosis, Roux-en-Y , Cholangiopancreatography, Endoscopic Retrograde , Cholecystitis/complications , Common Bile Duct Neoplasms/complications , Common Bile Duct Neoplasms/diagnosis , Common Bile Duct Neoplasms/epidemiology , Drainage , Duodenostomy , Female , Humans , Italy/epidemiology , Jejunum/surgery , Laparotomy , Liver/surgery , Male , Middle Aged , Palliative Care , Pancreaticoduodenectomy , Retrospective Studies , Stomach/surgery , Treatment OutcomeABSTRACT
Cystic lymphangioma is a benign tumor of uncertain etiology characterized by a slow growth; in 2-8% of cases it is localized in the mesentery. Symptomatology is aspecific and preoperative diagnosis is often difficult. The Authors report the case of a mesenteric cystic lymphangioma in a patient who had undergone subtotal colectomy eight years earlier for an adenocarcinoma occluding the sigmoid colon. The patient was hospitalized for intestinal occlusion.
