Lijecnicki vjesnik 2015;137(3-4)
FIRST SYNCHRONOUS LIVER RESECTION AS A PART OF CYTOREDUCTIVE SURGERY, PERITONECTOMY AND HIPEC IN CROATIA – CASE REPORT
Ana Majsec Budak, MATE ŠKEGRO, Mate Majerović, Dubravko Smuđ, Željko Jelinčić, Emil Kinda, Tihomir Kekez, Goran Augustin, Hrvoje Silovski, Petar Matošević, Tomislav Bruketa
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.