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Urological approach for cytoreductive surgery and hyperthermic intraperitoneal chemotherapy in a clinical care center

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dc.contributor.authorTrujillo, Carlos Gustavo
dc.contributor.authorDomínguez, Cristina
dc.contributor.authorRobledo, Daniela
dc.contributor.authorCaicedo, Juan Ignacio
dc.contributor.authorBravo-Balado, Alejandra
dc.contributor.authorCataño Cataño, Juan Guillermo
dc.contributor.authorCortés, Natalia
dc.contributor.authorParra, Lina
dc.contributor.authorRiaño, Wilson
dc.contributor.authorLondoño Schimmer, Eduardo
dc.contributor.authorOtero, Jorge
dc.contributor.authorHerrera, Gabriel
dc.contributor.authorPlata, Mauricio
dc.contributor.corporatenamePontificia Universidad Javeriana. Facultad de Medicina. Departamento de Cirugía y Especialidades. Grupo de Investigación de Cirugía y Especialidades
dc.date.accessioned2020-06-02T01:27:14Z
dc.date.available2020-06-02T01:27:14Z
dc.date.created2018
dc.description.abstractenglishBackground: Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS-HIPEC) is associated with significant manipulation of the urinary tract (UT). We aim to describe the urological events and their management in patients who underwent CRS-HIPEC. Methods: Clinical records of patients who underwent treatment between 2007 and 2015 were reviewed. Urological events and their multidisciplinary management were analyzed. Descriptive statistics were calculated. Results: A total of 103 patients were included. Mean age was 51 years (SD ± 11.8). Mean peritoneal cancer index (PCI) was 20.4 (SD ± 10.1). Primary tumors included appendicular (64%), gynecological (16%), colorectal (10%), and peritoneal mesotheliomas (9%). Ninety-three percent of patients had bilateral ureteral catheters inserted prior to surgery, without complications. Intraoperative UT injuries occurred in 7% of patients. In 5% of patients, tumor invasion of the bladder was evident at surgery and partial resection and primary repair of the bladder wall was performed. Urological complications included urinary tract infection (UTI) (21%) acute post-renal failure (4%), urinary fistulae (4%), and acute urinary retention (AUR) (1%). Conclusions: In our study, intraoperative UT events and postoperative complications, although not neglectable, were infrequent. Due to the high complexity of these cases, a multidisciplinary approach is mandatory. However, randomized clinical trials are necessary to clarify current data on the need and efficacy of prophylactic ureteral catheterization in patients undergoing CRS-HIPEC.spa
dc.description.paginas348-353spa
dc.description.quartilescopusQ3spa
dc.description.quartilewosQ4spa
dc.formatPDFspa
dc.format.mimetypeapplication/pdfspa
dc.format.soportePapel / Electrónicospa
dc.identifierhttps://www.tandfonline.com/doi/full/10.1080/00015458.2018.1436797spa
dc.identifier.doihttps://doi.org/10.1080/00015458.2018.1436797spa
dc.identifier.issn0001-5458spa
dc.identifier.urihttp://hdl.handle.net/10554/49551
dc.language.isoengspa
dc.rights.licenceAtribución-NoComercial 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.sourceActa chirurgica Belgica; Vol. 118 Núm. 6 (2018)spa
dc.subject.keywordPeritoneal neoplasmsspa
dc.subject.keywordComplicationsspa
dc.subject.keywordCystoscopyspa
dc.subject.keywordCytoreductive surgeryspa
dc.titleUrological approach for cytoreductive surgery and hyperthermic intraperitoneal chemotherapy in a clinical care centerspa
dc.typeinfo:eu-repo/semantics/article
dc.type.hasversionhttp://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.localArtículo de revistaspa

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