Anesthetic management of cytoreductive surgery and hyperthermic intraperitoneal chemotherapy: A case report

Abstract

Cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) can significantly influence overall and disease-free survival in selected patients suffering from peritoneal surface malignancies (PSMs). We report here the anaesthetic management of a 52 year old patient of Ca Colon with secondary ovarian and peritoneal deposits. She underwent cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) with curative intent. The advent of CRS/HIPEC gives a promising alternative to conventional treatment modalities but comes with numerous challenges to the anesthesiologist—in view of the metabolic and hemodynamic adjustments—and demands training.

Keywords

• colloids
• crystalloids
• cytoreductive surgery
• epidural block
• general anesthesia
• hyperthermic intraperitoneal chemotherapy