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Integration der Hyperthermie in chirurgisch-onkologische Techniken [Integration of hyperthermia into surgical oncological techniques]

Item Type:Article
Title:Integration der Hyperthermie in chirurgisch-onkologische Techniken [Integration of hyperthermia into surgical oncological techniques]
Creators Name:Burock, S. and Schlag, P.M.
Abstract:The term hyperthermia is defined in general as various forms of application of warmth in temperature ranges of 40-43 C and if necessary 45 C. There are local and regional procedures, whole body hyperthermia and hyperthermic perfusion techniques. Isolated limb perfusion (ILP) is an operative procedure where the afferent vessels can be isolated and cannulated for perfusion of limbs with a chemotherapeutic agent. The liver is also principally suitable for isolated chemoperfusion due to the vascular anatomy. Perfusion is carried out with various chemotherapeutic agents depending on the primary tumor and with temperatures ranging between 39.5 C and 41 C. Intraperitoneal chemoperfusion is an alternative procedure for regional treatment of peritoneal metastases. Decisive for success is a complete as possible macroscopic cytoreduction. An as yet rarely used technique of intracavital hyperthermic perfusion involves perfusion of pleural cavities by hyperthermic intrathoracic chemotherapy perfusion (HITHOC).
Keywords:Hyperthermia, Whole Body Hyperthermia, Hyperthermic Perfusion Techniques, Isolated Limb Perfusion, Intraperitoneal Chemoperfusion
Source:Onkologe
ISSN:0947-8965
Publisher:Springer (Germany)
Volume:16
Number:11
Page Range:1079-1085
Date:November 2010
Official Publication:https://doi.org/10.1007/s00761-010-1900-0

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