Surgery-Update Liver Resection/Hai

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hart2hart
Posts: 796
Joined: Wed Nov 23, 2011 10:46 pm

Surgery-Update Liver Resection/Hai

Postby hart2hart » Wed Oct 16, 2013 5:04 pm

Hi All -

Sloan just called and Pete's surgery with Dr. D has been changed from the 29th to the 25th!
Ahhhhh,,Only a week a half away. Thought we had two weeks to digest everything.......

Should Pete ask for an epidural? How long in the hospital? For all of you that have been through
Liver Resection/Hai Surgery would love any tips or suggestions for Pete! What was the toughest
part of these procedures? Thx.



Julie H
Stamford, ct

Hubby Pete (60)-VLRC - 11/11
Chemo/Rad/Ace Surgeon - 11/11 - 4/12
Oxi/Xeloda - 2 Treatments Stopped Severe Toxicity to Oxi 5/12 - 6/12
5FU/Lec - 12 Treatments 8/12 - 2/13
Clean Colonoscopy - 8/13
Liver Met - 10/13
Liver Resection/Hai - 10/25/13 at Sloan
Pete (hubby) Stage 3 VLRC - 11/11
Chemo/Rad/Ace Surgeon - 11/11 - 4/12
Oxi/Xeloda (Severe Toxicity to OXI) - 5/12 - 6/12
5Fu Only - 8/12 - 2/13
Liver Resection/Hai Pump/Folfiri/FUDR - 10/13 - 5/14
Lung Ablation (MSKCC) - 12/31/2014
Xeloda through 4/2015
NED - 1/2015 - 1/2020
Hai Pump/Port Removed - 1/2020

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juliej
Posts: 3114
Joined: Thu Aug 05, 2010 12:59 pm

Re: Surgery-Update Liver Resection/Hai

Postby juliej » Wed Oct 16, 2013 5:21 pm

Definitely ask for an epidural. That's what I had and it was fantastic at handling the pain.
Stage IVb, liver/lung mets 8/4/2010
Xelox+Avastin 8/18/10 to 10/21/2011
LAR, liver resec, HAI pump 11/2011
Adjuvant Irinotecan + FUDR
Double lung surgery + ileo reversal 2/2012
Adjuvant FUDR + Xeloda
VATS rt. lung 12/2012 - benign granuloma!
VATS left lung 11/2013
NED 11/22/13 to 12/18/2019, CEA<1

radnyc
Posts: 439
Joined: Tue Apr 06, 2010 6:32 pm

Re: Surgery-Update Liver Resection/Hai

Postby radnyc » Wed Oct 16, 2013 9:11 pm

Hey Julie, I was a good patient and followed all the doctor's and nurses's directives. Everyone is different of course, but I did not require and epidural. I was there for five days, of course, I hate hospitals and wanted to be back home the next day! As soon as I could I was doing my walks around the floor, gotta get the body moving asap, it's important. The nurses and everyone there was excellent, best hospital care I've ever had. GOOD LUCK, you're in the best of hands at MSK.

A
DX Jan '10, at 47
Feb - colon resection - 2/17 nodes
April - liver mets - Stage 4
3 months Folfox chemotherapy
August '10 liver resection and HAI pump
7 months chemo FUDR HAI and Folfiri systemic
NED since August 2010
Last treatment April '11
HAI Pump removed Dec '15

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ptfly
Posts: 392
Joined: Wed May 29, 2013 4:38 pm
Facebook Username: Paul Turley little rock, ar
Location: Little Rock, AR
Contact:

Re: Surgery-Update Liver Resection/Hai

Postby ptfly » Thu Oct 17, 2013 10:29 am

Julie,
When my wife has her colon resection in May she rcvd the epidural and thinks it helped a lot.
She was never over a 4 on the pain scale and said she had less pain that when she had minor back surgery many years ago.
We will probably still over lap in NY so looking fwd to meeting you.
Paul
Husband to Tracie with stage 4 CC. Liver Mets
DX 5-10-13. C resection 5-17-13. 5/17 LN
FOLFOX+AVI 6-11 thru 9-19-13
HAI pump on 10/31/2013 :) Stopped 9/14 :(
https://www.facebook.com/paul.turley.92
Passed peacefully in my arms at home on 11/11/14

janderson
Posts: 679
Joined: Tue Mar 27, 2012 11:46 am

Re: Surgery-Update Liver Resection/Hai

Postby janderson » Thu Oct 17, 2013 10:45 am

Definately ask for and epidural. Liver surgery is quite a bit more painful than colon surgery. I have had 3 liver resections. I was out of the hospital on the third day after the first 2 surgeries. I was in the hospital for a week after the third surgery but that was a big one. They removed 70% of my liver. He will be fine and it's better to get it over with ASAP IMO.
DX 10-05 stage IV
liver resection 12-05 Folfox1-05 to 7-06
Liver resection 8-07 Folfiri 9-07 to 3-08
Liver resection 12-11
Recurrence 2/7/2014, liver, chestwall mets, 16 rounds chemo
7/3/14, y90 radioembolization, steady shrinkage
12/8/14, cryoablation to liver and chest wall
6/1 to 6/26 SBRT radio surgery
7/2 more cryo ablation to right lung
7/16 lung infection drain tube installed
9/4 chest wall resection to remove 2 ribs

mymom
Posts: 1288
Joined: Fri Aug 12, 2011 11:07 pm
Location: Connecticut

Re: Surgery-Update Liver Resection/Hai

Postby mymom » Fri Oct 18, 2013 6:30 am

Hi. so happy for you. Mom did not have an epidural. They didnt want to give her one. Not sure why. Recovery time? Dont go by my mom. We have nicknamed her the Queen of Complications. We are buying her a crown.
Stage 4 CC DX 5/11
colon/livr rsct 5/11(1 met)
Folfox July-11/11
NED to 5/12
New Primry BC-4/12,Stage 1
2 livermet 5/2012
Liver rsct,HAI 6/12,Folfiri
NED to 10/13,1 liver met,ablation, Folfiri
NED to 12/14, another spot
3/15 NED
Ablation 1 liver met 10/15
1/16-current NED

pog451
Posts: 799
Joined: Thu Oct 13, 2011 6:11 am
Facebook Username: andrew.morgan

Re: Surgery-Update Liver Resection/Hai

Postby pog451 » Fri Oct 18, 2013 7:51 am

..
Last edited by pog451 on Fri Oct 18, 2013 7:54 am, edited 1 time in total.
09.11 Dx @ 46, uT3uN1M0 G2
11.11 radio+Xeloda
01.12 LAR
03.12 Xeloda
09.12 Liver mets, 2 LN
09.12 Folfox+Avastin
02.13 Resection
04.13 Folfox & Avastin
11.13 Local recurrence
02-07.14 FOLFIRINOX
08.14 Re-rediation
Left us 28.05.2015

pog451
Posts: 799
Joined: Thu Oct 13, 2011 6:11 am
Facebook Username: andrew.morgan

Re: Surgery-Update Liver Resection/Hai

Postby pog451 » Fri Oct 18, 2013 7:52 am

Just to clarify things perfectly, let me say the exact opposite to janderson :-D

My Liver resection (60% removed, open surgery) was CONSIDERABLY less pain and discomfort and hassle than my resection, although I was rectal, not colon.

For my LAR I had an epidural, for my liver I didn't and I never went above 2 or 3 on pain (except when moving significantly like getting out of bed) on either.

I was in hospital longer for my liver resection (10 days) but the last few days were purely because I had some drains still in that wouldn't stop emitting fluid - I had otherwise already healed pretty well by then. I get the idea we spend longer on the ward here in Europe anyway.

Epidurals have one significant drawback for men - When it comes to removing the foley things can take while to get back on track.
09.11 Dx @ 46, uT3uN1M0 G2
11.11 radio+Xeloda
01.12 LAR
03.12 Xeloda
09.12 Liver mets, 2 LN
09.12 Folfox+Avastin
02.13 Resection
04.13 Folfox & Avastin
11.13 Local recurrence
02-07.14 FOLFIRINOX
08.14 Re-rediation
Left us 28.05.2015

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Guinevere
Posts: 3358
Joined: Tue Oct 11, 2011 4:19 pm
Location: NE TX

Re: Surgery-Update Liver Resection/Hai

Postby Guinevere » Fri Oct 18, 2013 1:56 pm

Julie,
Have him ask for the epidural. He won't regret it. It's the best pain management I've ever had for surgical pain. I also think less time to think about the upcoming surgery might emotionally work in his favor so it may be a good thing that the surgery was moved up. Less time to stress.

God bless ~
Guinevere
Hrt atk - Feb 11
CRC4 DX - Apr 11
APR liver rsct, procto - Jul 11
Folfox/Avastin - Sep 11
Xeliri - Nov 11
Iritux - Jun 12
Break - Jan - Mar 13
Iritux - Mar 13
Stivarga - Aug 13
Folfiri - Oct 13
Exhausted treatment options - May 14

justin case
Posts: 4269
Joined: Sun Sep 04, 2011 8:26 am
Location: Katy, Texas

Re: Surgery-Update Liver Resection/Hai

Postby justin case » Sat Oct 26, 2013 8:47 pm

Hi Jewels,
No I did not forget. I was waiting for Pete to get out of ICU, before I was going to post. I hope the surgery went well and Pete is doing fine. I know you, and you should probably be getting some rest for yourself, let the kids keep an eye out.
Warm regards,
Michael
7/11 diagnosed Stage 2 colon and rectal cancer
chemo/rad
lar/temp ilio
Reversal & port removal
21 round of chemo Folfox 9tx, 5fu 12 tx
Last treatment July 2012


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