Pump Placement

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hopefulandstrong
Posts: 42
Joined: Fri Apr 19, 2019 7:11 pm

Pump Placement

Postby hopefulandstrong » Wed Sep 18, 2019 11:07 am

Hello all -

So, I know this have been covered in other posts, but I'm having a hard time finding the details. I'm scheduled to go in on Monday for a follow-up at MSK. We're going in laparoscopically the make sure disease in, indeed, confined to liver, and if it is, they will place a pump. Can anyone tell me what the timeline for this looks like? If the lap looks good, do they right in? Is pump placement open ? How long to do you stay in hospital to recover from pump placement?

This is crazy, but we are trying to figure this out because my husband is having his knee replaced on Thursday!

Thanks!
Jackie (that's my actual name)
54, female
1/8/19 DS Stage 4 with Liver Mets
1/11/19 Successful Colon Resect -- 12 inches of transverse colon removed
2/9/19 PET scan with disease confined to liver
2/18/19 Started Folfox -- CEA 70
5/1/19 -- Scans show progression -Switch to Folfiri
5/8/19 - BRAF mutation -- switch again to Triplet Therapy: Encorafenib, Binimetinib, Cetximab
6/13/19 - CEA dropped from 214 to 22
7/16/19 - CEA 2.8
8/1/19 - CT scan reveals 4 liver mets shrunk -- all under 3.1 CM.

Zod
Posts: 20
Joined: Wed Aug 28, 2019 2:56 pm
Facebook Username: Zod

Re: Pump Placement

Postby Zod » Wed Sep 18, 2019 9:41 pm

I don't have much info about timing, etc. However, in my case docs are talking about combining the pump install with my other 2 operations (liver resection and reversing ileostomy. Do you have other operations that should be combined with installing the pump?

hopefulandstrong
Posts: 42
Joined: Fri Apr 19, 2019 7:11 pm

Re: Pump Placement

Postby hopefulandstrong » Thu Sep 19, 2019 7:44 am

Liver resection is a possibility. fortunately, my primary tumor was removed without an ostomy is January.
54, female
1/8/19 DS Stage 4 with Liver Mets
1/11/19 Successful Colon Resect -- 12 inches of transverse colon removed
2/9/19 PET scan with disease confined to liver
2/18/19 Started Folfox -- CEA 70
5/1/19 -- Scans show progression -Switch to Folfiri
5/8/19 - BRAF mutation -- switch again to Triplet Therapy: Encorafenib, Binimetinib, Cetximab
6/13/19 - CEA dropped from 214 to 22
7/16/19 - CEA 2.8
8/1/19 - CT scan reveals 4 liver mets shrunk -- all under 3.1 CM.

User avatar
ginabeewell
Posts: 313
Joined: Wed Oct 24, 2018 10:30 am

Re: Pump Placement

Postby ginabeewell » Thu Sep 19, 2019 8:07 am

I think after my pump placement and colon resection I stayed 5 days - it would have been 4 but I struggled to have a BM.

I stayed 4 nights for my liver resection. I think I got out early, maybe too early.

So I would think 4-5 nights, with a chance of 3 if you push for it and if the pump is all they do.
45 year old mom of twins (8) and lucky stepmom of 14 and 16 year olds
9/17/18 DX stage 4 CRC w inoperable liver mets
9/20/18 CEA 931
10/1/18 FOLFOX + Vectibix planned 12 rounds
12/12/18 CT scan showed typhlitis (7 days in hospital) but largest met down to 5 cm. Chemo holiday.
12/26/18 CEA 4.6
1/14/18 Resume chemo (#6-8)
3/27/19 HAI pump placement / colon resection
4/8/19 Resume chemo (#9-19) FOLFOX (no OX) + Vectibix
5/20/19 CEA 1.3
7/19/19 1st liver resection
10/16/19 2nd liver resection

hopefulandstrong
Posts: 42
Joined: Fri Apr 19, 2019 7:11 pm

Re: Pump Placement

Postby hopefulandstrong » Thu Sep 19, 2019 8:59 am

Gina -

Did you go right in for the surgery? in my case, we're doing laparotomy first to check for extra hepatic disease. I can't imagine they place the pump laproscopically, right?
54, female
1/8/19 DS Stage 4 with Liver Mets
1/11/19 Successful Colon Resect -- 12 inches of transverse colon removed
2/9/19 PET scan with disease confined to liver
2/18/19 Started Folfox -- CEA 70
5/1/19 -- Scans show progression -Switch to Folfiri
5/8/19 - BRAF mutation -- switch again to Triplet Therapy: Encorafenib, Binimetinib, Cetximab
6/13/19 - CEA dropped from 214 to 22
7/16/19 - CEA 2.8
8/1/19 - CT scan reveals 4 liver mets shrunk -- all under 3.1 CM.

User avatar
ginabeewell
Posts: 313
Joined: Wed Oct 24, 2018 10:30 am

Re: Pump Placement

Postby ginabeewell » Thu Sep 19, 2019 6:30 pm

hopefulandstrong wrote:Gina -

Did you go right in for the surgery? in my case, we're doing laparotomy first to check for extra hepatic disease. I can't imagine they place the pump laproscopically, right?


I did not do a check prior, just went in for surgery. We relied on the CT scan to rule that out. The pump cannot be placed laparoscopically, but that’s how they did my colon resection the same day.
45 year old mom of twins (8) and lucky stepmom of 14 and 16 year olds
9/17/18 DX stage 4 CRC w inoperable liver mets
9/20/18 CEA 931
10/1/18 FOLFOX + Vectibix planned 12 rounds
12/12/18 CT scan showed typhlitis (7 days in hospital) but largest met down to 5 cm. Chemo holiday.
12/26/18 CEA 4.6
1/14/18 Resume chemo (#6-8)
3/27/19 HAI pump placement / colon resection
4/8/19 Resume chemo (#9-19) FOLFOX (no OX) + Vectibix
5/20/19 CEA 1.3
7/19/19 1st liver resection
10/16/19 2nd liver resection


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