Unfortunately it sounds like there are really only a couple options. Get Dr. K to implant the pump as part of her trial and hope it works on the liver Mets, which it appears to do for other people, and have the hassle of the maintenance of the pump after treatment, while hoping someone closer to home will service it in the future. Or skip the pump as it is a trial and have surgery and systemic chemo alone.
It sounds like the debate is because Dr. K is running a trial for the new pumps. Going back to the old pumps isn’t an option from what I have read so it looks like these new style pumps will be what she uses during and after her trial. My opinion would be to go the pump route but that is just me.
06/14-DX with FAP as 36yo Male
07/14-total colectomy, rectum removal, permanent ileostomy
08/14-DX Stage IIIC, KRAS mutant, MSS
09/14-04/15 - 12 rounds of FOLFOX
07/15-CT showed para-aortic lymph node, onc thght inflammation
10/15-DX Stage IV, CT lymph node tripled in size, 1 small lung met
11/15-FOLFIRI + Avastin
06/16-lymph node is stable, now have a 2nd lung met
01/16-lymph node is stable, lung mets grown 2mm. Still on FOLFIRI + Avastin
11/17 - no chemo since. Lung growth minimal, lymph node is stable