[Complications related to arterial infusion chemotherapy in patients with hepatic metastasis from colorectal cancer].
Complications of hepatic arterial infusion chemotherapy were analyzed in 30 cases with hepatic metastasis from colorectal cancer from July 1993 to February 2000 in our department. Thirty patients were treated with three kinds of arterial infusion course that mainly consisted of 5-FU. Complications resulting in interruption of therapy occurred in 10 patients (33%), and there was no difference in the incidence rate of complications among the three chemotherapy regimens. The complications with our therapy were hepatic arterial occlusion in two patients, catheter tip dislocation in four patients, fistulus between the hepatic artery and common bile duct in two patients, and fistulus between the hepatic artery and duodenal bulb in two patients. Four patients who had severe complications with fistulus all underwent hepatectomy, especially right hepatic lobectomy in two cases. Sixty percent of our patients had complications after hepatectomy, so regular GIF and DSA are necessary to prevent severe complications after hepatectomy.
Asami
S
S
Dept. of Surgery, Tubame Rosai Hospital.
Kitahara
K
K
Yamaguchi
K
K
Ohashi
Y
Y
Miyashita
K
K
D000328:Adult; D000368:Aged; D001157:Arterial Occlusive Diseases / Q000209:etiology*; D001658:Biliary Fistula / Q000209:etiology*; D015179:Colorectal Neoplasms / Q000473:pathology*; D003135:Common Bile Duct; D004868:Equipment Failure; D005260:Female; D005472:Fluorouracil / Q000009:adverse effects; D006499:Hepatic Artery; D006801:Humans; D007261:Infusions, Intra-Arterial / Q000009:adverse effects* / Q000295:instrumentation; D008113:Liver Neoplasms / Q000188:drug therapy* / Q000556:secondary*; D008297:Male; D008875:Middle Aged; D016157:Vascular Fistula / Q000209:etiology*
D005472:Fluorouracil