OPTIMIZING PERIOPERATIVE CARE FOR PERIHILAR CHOLANGIOCARCINOMA: THE CRUCIAL ROLE OF MULTIDISCIPLINARY MANAGEMENT, NEOADJUVANT THERAPY, AND INTERVENTIONAL RADIOLOGY
ABSTRACT BACKGROUND: Perihilar cholangiocarcinoma presents unique challenges in perioperative management, requiring a comprehensive approach to optimize patient outcomes. AIMS: This case study focuses on the multidisciplinary management and innovative interventions performed in the perioperative c...
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Colégio Brasileiro de Cirurgia Digestiva
2025-01-01
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| Series: | ABCD: Arquivos Brasileiros de Cirurgia Digestiva |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202024000100403&lng=en&tlng=en |
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| author | María Inés GAETE José Donizeti de MEIRA JUNIOR Soledad LOYOLA Luís MENESES Jorge DREYSE Joaquín HEVIA Eduardo BRICEÑO Jorge MARTINEZ |
| author_facet | María Inés GAETE José Donizeti de MEIRA JUNIOR Soledad LOYOLA Luís MENESES Jorge DREYSE Joaquín HEVIA Eduardo BRICEÑO Jorge MARTINEZ |
| author_sort | María Inés GAETE |
| collection | DOAJ |
| description | ABSTRACT BACKGROUND: Perihilar cholangiocarcinoma presents unique challenges in perioperative management, requiring a comprehensive approach to optimize patient outcomes. AIMS: This case study focuses on the multidisciplinary management and innovative interventions performed in the perioperative care of a patient with hilar cholangiocarcinoma. METHODS: A comprehensive assessment and treatment strategy involving neoadjuvant therapy and interventional radiology techniques were implemented. Neoadjuvant chemotherapy was administered to reduce tumor size and improve resectability. The crucial role of interventional radiology in managing postoperative complications is highlighted, particularly in the case of massive pulmonary embolism. RESULTS: The neoadjuvant therapy successfully reduced tumor size, enabling an R0 surgical resection. Additionally, interventional radiology interventions, such as percutaneous pharmaco-mechanical thrombectomy, effectively addressed the life-threatening complication of massive pulmonary embolism. CONCLUSIONS: This article highlights the importance of a collaborative, multidisciplinary approach in managing complex oncological surgeries, especially regarding the hospital’s rescue capacity for severe postoperative complications. Emergent management with interventional radiology had a central role in resolving life-threatening complications. |
| format | Article |
| id | doaj-art-04ed672a5ca243309cc1a78fbdcdcad4 |
| institution | Kabale University |
| issn | 0102-6720 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Colégio Brasileiro de Cirurgia Digestiva |
| record_format | Article |
| series | ABCD: Arquivos Brasileiros de Cirurgia Digestiva |
| spelling | doaj-art-04ed672a5ca243309cc1a78fbdcdcad42025-01-21T07:40:11ZengColégio Brasileiro de Cirurgia DigestivaABCD: Arquivos Brasileiros de Cirurgia Digestiva0102-67202025-01-013710.1590/0102-6720202400054e1848OPTIMIZING PERIOPERATIVE CARE FOR PERIHILAR CHOLANGIOCARCINOMA: THE CRUCIAL ROLE OF MULTIDISCIPLINARY MANAGEMENT, NEOADJUVANT THERAPY, AND INTERVENTIONAL RADIOLOGYMaría Inés GAETEhttps://orcid.org/0000-0002-5538-8917José Donizeti de MEIRA JUNIORhttps://orcid.org/0000-0002-4064-1166Soledad LOYOLAhttps://orcid.org/0009-0009-6673-4158Luís MENESEShttps://orcid.org/0000-0001-9559-6975Jorge DREYSEhttps://orcid.org/0000-0002-8201-5956Joaquín HEVIAhttps://orcid.org/0000-0002-9500-5503Eduardo BRICEÑOhttps://orcid.org/0000-0003-1863-5170Jorge MARTINEZhttps://orcid.org/0000-0001-5823-7308ABSTRACT BACKGROUND: Perihilar cholangiocarcinoma presents unique challenges in perioperative management, requiring a comprehensive approach to optimize patient outcomes. AIMS: This case study focuses on the multidisciplinary management and innovative interventions performed in the perioperative care of a patient with hilar cholangiocarcinoma. METHODS: A comprehensive assessment and treatment strategy involving neoadjuvant therapy and interventional radiology techniques were implemented. Neoadjuvant chemotherapy was administered to reduce tumor size and improve resectability. The crucial role of interventional radiology in managing postoperative complications is highlighted, particularly in the case of massive pulmonary embolism. RESULTS: The neoadjuvant therapy successfully reduced tumor size, enabling an R0 surgical resection. Additionally, interventional radiology interventions, such as percutaneous pharmaco-mechanical thrombectomy, effectively addressed the life-threatening complication of massive pulmonary embolism. CONCLUSIONS: This article highlights the importance of a collaborative, multidisciplinary approach in managing complex oncological surgeries, especially regarding the hospital’s rescue capacity for severe postoperative complications. Emergent management with interventional radiology had a central role in resolving life-threatening complications.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202024000100403&lng=en&tlng=enCholangiocarcinomaPostoperative complicationsHepatectomyPulmonary embolismNutrition therapy |
| spellingShingle | María Inés GAETE José Donizeti de MEIRA JUNIOR Soledad LOYOLA Luís MENESES Jorge DREYSE Joaquín HEVIA Eduardo BRICEÑO Jorge MARTINEZ OPTIMIZING PERIOPERATIVE CARE FOR PERIHILAR CHOLANGIOCARCINOMA: THE CRUCIAL ROLE OF MULTIDISCIPLINARY MANAGEMENT, NEOADJUVANT THERAPY, AND INTERVENTIONAL RADIOLOGY ABCD: Arquivos Brasileiros de Cirurgia Digestiva Cholangiocarcinoma Postoperative complications Hepatectomy Pulmonary embolism Nutrition therapy |
| title | OPTIMIZING PERIOPERATIVE CARE FOR PERIHILAR CHOLANGIOCARCINOMA: THE CRUCIAL ROLE OF MULTIDISCIPLINARY MANAGEMENT, NEOADJUVANT THERAPY, AND INTERVENTIONAL RADIOLOGY |
| title_full | OPTIMIZING PERIOPERATIVE CARE FOR PERIHILAR CHOLANGIOCARCINOMA: THE CRUCIAL ROLE OF MULTIDISCIPLINARY MANAGEMENT, NEOADJUVANT THERAPY, AND INTERVENTIONAL RADIOLOGY |
| title_fullStr | OPTIMIZING PERIOPERATIVE CARE FOR PERIHILAR CHOLANGIOCARCINOMA: THE CRUCIAL ROLE OF MULTIDISCIPLINARY MANAGEMENT, NEOADJUVANT THERAPY, AND INTERVENTIONAL RADIOLOGY |
| title_full_unstemmed | OPTIMIZING PERIOPERATIVE CARE FOR PERIHILAR CHOLANGIOCARCINOMA: THE CRUCIAL ROLE OF MULTIDISCIPLINARY MANAGEMENT, NEOADJUVANT THERAPY, AND INTERVENTIONAL RADIOLOGY |
| title_short | OPTIMIZING PERIOPERATIVE CARE FOR PERIHILAR CHOLANGIOCARCINOMA: THE CRUCIAL ROLE OF MULTIDISCIPLINARY MANAGEMENT, NEOADJUVANT THERAPY, AND INTERVENTIONAL RADIOLOGY |
| title_sort | optimizing perioperative care for perihilar cholangiocarcinoma the crucial role of multidisciplinary management neoadjuvant therapy and interventional radiology |
| topic | Cholangiocarcinoma Postoperative complications Hepatectomy Pulmonary embolism Nutrition therapy |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202024000100403&lng=en&tlng=en |
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