Surgical oncologists at Thai Binh General Hospital have successfully performed an extensive radical surgery on a 75-year-old patient suffering from late-stage ovarian cancer. The case was particularly challenging due to the convergence of widespread malignancy and severe underlying cardiovascular conditions.
Clinical details and intervention:
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Pathological status: The malignancy had extensively metastasized, invading the omentum and multiple segments of the colon and rectum. The patient’s history of atrial fibrillation, heart failure, and hypertension significantly escalated the risks during anesthesia and surgical maneuvers.
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The “6-in-1” surgical approach: A highly complex 5-hour procedure was executed to perform a total peritonectomy and visceral resection. This included the removal of the uterus, bilateral adnexa, greater omentum, right colon, left colon, and rectum in a single surgical session.
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Survival management: The primary challenge lay in maintaining hemodynamic stability during such an invasive procedure on a frail patient. Achieving optimal cytoreduction (maximum removal of cancerous tissue) has provided the necessary foundation for subsequent systemic chemotherapy.
This medical achievement highlights the advanced oncological capabilities of regional hospitals, allowing high-risk patients to receive critical care locally, thereby avoiding the risks associated with long-distance transfers.