转移性腹膜假肌瘤的细胞剥脱和热疗胸腔内化疗

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引用次数: 0

摘要

腹膜假性肌瘤胸膜扩展非常罕见,治疗需要多学科护理。细胞切除手术和热胸腔内化疗期间的围手术期管理对麻醉科和外科团队提出了独特的挑战。血流动力学、心律失常、通气、体液平衡、酸碱和肾保护等问题都是重要的考虑因素。对腹膜外假腹膜瘤采用细胞剥脱手术和热疗胸腔内化疗是一种创新且可能治愈的方法。在此,我们将介绍治疗这类患者的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cytoreduction and Hyperthermic Intrathoracic Chemotherapy for Metastatic Pseudomyxoma Peritonei

Pleural extension of pseudomyxoma peritonei is rare, and treatment demands multidisciplinary care. Perioperative management during cytoreductive surgery and hyperthermic intrathoracic chemotherapy challenges anesthesiology and surgical teams in unique ways. Hemodynamic, arrhythmogenic, ventilatory, fluid balance, acid-base, and nephroprotection issues are important considerations. The use of cytoreductive surgery and hyperthermic intrathoracic chemotherapy for extraperitoneal pseudomyxoma peritonei is an innovative and potentially curative approach. Here, we describe our approach to managing these patients.

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