Perioperative considerations in the oncologic patient undergoing isolated limb perfusion

Luis Felipe Cuellar-Guzmán, Giancarlo Ferretiz-López, Neftalí Cárdenas-Herrera
2018 Gaceta Mexicana de Oncolog�a  
Isolated limb perfusion (ILP) and hyperthermic ILP (HILP) are therapeutic options for patients with unresectable malignancies in the extremities (e.g., primarily melanoma and soft tissue tumors), they induce a high rate of tumor response; associates with high limb salvage rates and represents an effective alternative to amputation. These are challenging procedures with a high technical difficulty that require the efforts of a multidisciplinary team (surgeon, anesthesiologist, nurse,
more » ... and intensivist). Hemodynamic changes, drug leakage through collateral vessels, local and systemic toxicity, and potential complications require continuous and invasive monitoring during the procedure and rigorous post-surgical monitoring. The purpose of this review article was to update the strategies for the perioperative care of cancer patients undergoing this procedure.
doi:10.24875/j.gamo.m18000128 fatcat:kwuls4zfsfgchavbizw6pqnnni