{"id":960,"date":"2018-02-14T10:39:49","date_gmt":"2018-02-14T10:39:49","guid":{"rendered":"http:\/\/www.barnaclinic.com\/blog\/?p=960&#038;lang=ca"},"modified":"2018-02-15T10:24:13","modified_gmt":"2018-02-15T10:24:13","slug":"carcinomatosi-peritoneal","status":"publish","type":"post","link":"https:\/\/www.barnaclinic.com\/blog\/ca\/blog\/carcinomatosi-peritoneal\/","title":{"rendered":"Carcinomatosi peritoneal: Qu\u00e8 \u00e9s i quin \u00e9s el seu tractament?"},"content":{"rendered":"<p>La <strong>Carcinomatosi Peritoneal<\/strong> o <strong>Carcinosis del Peritoneu<\/strong> (CP) es defineix per tota disseminaci\u00f3 tumoral que afecta de forma localitzada o massiva, a la serosa del peritoneu i als \u00f2rgans ve\u00efns. De forma majorit\u00e0ria pot tenir dos or\u00edgens: el mateix <a href=\"https:\/\/ca.wikipedia.org\/wiki\/Peritoneu\" target=\"_blank\" rel=\"noopener noreferrer\">peritoneu<\/a> (Pseudomixoma, Mesotelioma), un origen en <strong>tumors del tracte digestiu<\/strong> o <strong>ginecol\u00f2gic<\/strong>.<\/p>\n<p><!--more--><\/p>\n<h2>Tractament de la\u00a0carcinomatosi peritoneal<\/h2>\n<p>La realitzaci\u00f3 de t\u00e8cniques com la <strong>Peritonectomies<\/strong> i la <strong>Perfusi\u00f3 hipert\u00e8rmic de la Cavitat Abdominal<\/strong> han suposat una revoluci\u00f3 en el tractament de les persones que pateixen <strong>carcinomatosi peritoneal<\/strong>, abans considerats terminals, ja que s&#8217;han aconseguit <strong>superviv\u00e8ncies majors al 70% als 5 anys en algunes d&#8217;aquestes patologies<\/strong>, amb una excel\u00b7lent qualitat de vida.<\/p>\n<blockquote>\n<h4>Gr\u00e0cies als \u00faltims aven\u00e7os en el tractament de la carcinomatosi peritoneal aconseguim superviv\u00e8ncies majors al 70% als 5 anys amb una excel\u00b7lent qualitat de vida<\/h4>\n<\/blockquote>\n<p>Els pacients afectes d&#8217;aquesta malaltia, abans considerats com a terminals i una esperan\u00e7a de vida inferior als 3 mesos, poden disposar de:<\/p>\n<ul>\n<li>\n<h4><strong>Cirurgia cito-reductora (Peritonectom\u00eda)<\/strong><\/h4>\n<\/li>\n<\/ul>\n<p>Una\u00a0<strong>cirurgia cito-reductora (Peritonectom\u00eda)<\/strong>, \u00e9s a dir extirpar tot el peritoneu parietal i els n\u00f2duls tumorals del peritoneu visceral, en moltes ocasions amb resecci\u00f3 d&#8217;\u00f2rgans afectats (c\u00f2lon, est\u00f3mac, melsa, recte) i en un segon temps en finalitzar la Peritonectom\u00eda, una Perfusi\u00f3 Hipert\u00e9rmica de la cavitat abdominal amb f\u00e0rmacs quimioter\u00e0pics.<\/p>\n<ul>\n<li>\n<h4><strong>Perfusi\u00f3 Hipert\u00e9rmica de la cavitat abdominal<\/strong><\/h4>\n<\/li>\n<\/ul>\n<p>La<strong> Perfusi\u00f3 Hipert\u00e9rmica de la cavitat abdominal<\/strong>\u00a0consisteix a col\u00b7locar 4 c\u00e0nules en la cavitat abdominal en finalitzar la <strong>Peritonectom\u00eda<\/strong>. Tancar la cavitat abdominal, connectar les c\u00e0nules a una bomba (Performer\u00ae) per mitj\u00e0 d&#8217;un circuit de circulaci\u00f3 extracorporia.<\/p>\n<p>Amb l&#8217;objectiu d&#8217;aconseguir realitzar una <strong>hipert\u00e8rmia de la cavitat abdominal<\/strong> (40-41 \u00ba C) i administrar durant 60-90 minuts (en funci\u00f3 del tipus de tumor) els f\u00e0rmacs quimioter\u00e0pics.<\/p>\n<p>Aquesta t\u00e8cnica d&#8217;<strong>hipert\u00e8rmia<\/strong> es denomina <strong>Hipert\u00e8rmia amb Abdomen Tancat<\/strong>, el nostre grup creu que \u00e9s una t\u00e8cnica m\u00e9s segura quant a la distribuci\u00f3 i acci\u00f3 del f\u00e0rmac i menys contaminant cap al personal sanitari, en lloc de la <strong>Hipert\u00e8rmia amb Abdomen Obert<\/strong> menys segura en la distribuci\u00f3 del f\u00e0rmac i m\u00e9s contaminant.<\/p>\n<hr \/>\n<p><a href=\"https:\/\/www.barnaclinic.com\/ca\/solicitar-cita\/\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-966 size-full\" src=\"http:\/\/www.barnaclinic.com\/blog\/wp-content\/uploads\/2018\/02\/cirurgia-digestiva-banner.jpg\" alt=\"\" width=\"1468\" height=\"218\" srcset=\"https:\/\/www.barnaclinic.com\/blog\/wp-content\/uploads\/2018\/02\/cirurgia-digestiva-banner.jpg 1468w, https:\/\/www.barnaclinic.com\/blog\/wp-content\/uploads\/2018\/02\/cirurgia-digestiva-banner-300x45.jpg 300w, https:\/\/www.barnaclinic.com\/blog\/wp-content\/uploads\/2018\/02\/cirurgia-digestiva-banner-1024x152.jpg 1024w\" sizes=\"auto, (max-width: 1468px) 100vw, 1468px\" \/><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>La Carcinomatosi Peritoneal o Carcinosis del Peritoneu (CP) es defineix per tota disseminaci\u00f3 tumoral que afecta de forma localitzada o massiva, a la serosa del peritoneu i als \u00f2rgans ve\u00efns. De forma majorit\u00e0ria pot tenir dos or\u00edgens: el mateix peritoneu (Pseudomixoma, Mesotelioma), un origen en tumors del tracte digestiu o ginecol\u00f2gic.<\/p>\n","protected":false},"author":2,"featured_media":951,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[320],"tags":[321,322,323],"class_list":["post-960","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cirurgia-digestiva","tag-carcinomatosi-peritoneal","tag-cirurgia","tag-digestiu"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.14 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Carcinomatosi peritoneal: Qu\u00e8 \u00e9s i quin \u00e9s el seu tractament?<\/title>\n<meta name=\"description\" content=\"La Carcinomatosi Peritoneal es defineix per tota disseminaci\u00f3 tumoral que afecta de forma localitzada o massiva, a la serosa del peritoneu i \u00f2rgans 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