Table 1.
Patient | Age (years)/ Gender | ASA | Primary Disease/Organ | PCI | CRS Excision | HIPEC drugs | HIPEC Duration | Blood Loss (ml) | Urine Output (ml) | Fluids (ml) | Duration of Surgery (min) | Vasopressor support at end of surgery (µg/kg/min) |
---|---|---|---|---|---|---|---|---|---|---|---|---|
Patient 1 | 69/M | II (IHD) | Appendix | 20 | Total Peritonectomy + greater and lesser omentectomy + small Bowel resection anastomosis + Retroperitoneal deposit excision + bilateral Diaphragmatic peritonectomy + Cholecystectomy + Port site excision) | Mitomycin + Doxorubicin 15 mg/m2 | 60 | 2000 | 1500 | RL 4500 Albumin 4% 1500 PRBC 256 | 675 | 0 |
Patient 2 | 35/F | II (Current Hypothyroidism) | Krukenberg’s tumour secondary to metastatic adenocarcinoma of colon | 7 | Anterolateral parietal peritonectomy, pelvic peritonectomy, TAH, BSO, Redo low anterior resection, Small bowel RA, Omentectomy, Hartmann colostomy. | Mitomycin + Doxorubicin 15 mg/m2 | 90 | 3400 | 1750 | RL 6000 Albumin 4% 500 Gelofusine 500 PRBC 765 | 675 | 0 |
Patient 3 | 45/F | I | Appendix | 34 | Total peritonectomy + anterior resection + limited right hemicolecomy + splenectomy + omentectomy + cholecystectomy + falciform ligament excision + glisson capsule excision | Mitomycin + Doxorubicin 15 mg/m2 | 90 | 3200 | 1900 | RL 10000 Gelofusine 2500 Albumin4% 1000 PRBC 760 FFP 410 | 780 | 0.2 |
Patient 4 | 49/F | I | Adnexal mass with pseudomyxoma peritonei | 10 | Total parietal peritonectomy + Omentectomy (Operated for CRS-HIPEC in 2019) | Mitomycin + Doxorubicin 15 mg/m2 | 60 | 3500 | 2100 | RL 7000 Albumin 4% 1500 PRBC 780 FFP 650 | 585 | 0 |
ASA: American Society of Anesthesiologists; CRS: Cytoreductive Surgery; FFP: Fresh Frozen Plasma; HIPEC: Hyperthermic Intraperitoneal Chemotherapy; PRBC: Packed Red Blood Cells; PCI: Peritoneal Carcinomatosis Index; RL: Ringer Lactate; TAH-BSO: Total Abdominal Hysterectomy-Bilateral Salpingooophorectomy; M-male; F-female; IHD- Ischaemic heart disease, RA: Resection-anastomosis