Recovery time for HAI pump placement and/or liver resection?

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Recovery time for HAI pump placement and/or liver resection?

Postby ginabeewell » Mon Feb 18, 2019 8:30 pm

After a surgical consult, we aren't sure what surgery will look like.

Either it will be a colon resection / HAI pump placement, OR that along with a pretty extensive liver resection. (We are awaiting MRI results to know which is more likely - but they warned us we may not know for sure until they are operating.) If they think they can't do the liver all at once, they may save it for a post HAI-pump chemo resection.

Can anyone share their recovery story for either procedure? How long in hospital vs home recovery. By when did you get back to work, either remotely or back in the office?

Would like to let my office know and make arrangements for long term disability if necessary.
45 YO mom of twins (9) and lucky stepmom of 14/17 year olds
9/17/18 DX stage 4 CRC w inoperable liver mets CEA 931
10/18 FOLFOX + Vectibix
12/18 typhlitis (7 days in hospital) but largest met down to 5 cm.
12/18 CEA 4.6
1/18 Resume chemo (#6-8)
3/19 HAI pump placement / colon resection
4/19 Resume chemo (#9-19) FOLFOX (no OX) + Vectibix
5/19 CEA 1.3
7/19 liver resection
10/19 liver resection
1/20 NED! CEA 0.6
3/20 two new liver mets; FOLFIRI (5) and then add Vectibix (5)
8/20 CEA 0.7
Resection next?

Posts: 363
Joined: Thu Jul 05, 2018 6:03 pm

Re: Recovery time for HAI pump placement and/or liver resection?

Postby Gravelyguy » Mon Feb 18, 2019 9:32 pm

I have no experience with the pump but was off 6 weeks after my combo ULAR and liver resection. I needed most of that to be ready to go back to teaching. I did do some coaching after 3 weeks but I was very slow moving.

As far as the hospital stay, I had surgery on a Thursday and was discharged that Saturday so 2 days hospitalization.

Last edited by Gravelyguy on Tue Feb 19, 2019 6:05 am, edited 1 time in total.
6/17 dx mRC t3n1m1 very low rectal tumor 2 liver Mets 1.3 cm and .9 cm

6/17 begin 4 rounds Folfox w/Vectibix
9/17 short course radiation
10/17 rectal and liver resection LAR with coloanal anastomosis (no rectum left)
11/17-3/18 8 rounds Folfox
6/18 still NED!! Takedown
8/28/18 still NED! CEA .8 new low for me
10/18/18 colonoscopy clear
12/12/18 CEA .9 still NED!
6/11/19 CEA 1.0
12/19/19 CEA 1.0 still NED!
6/17/20 CEA 1.1 still NED!
12/15/20 CEA 1.1still NED!

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

Re: Recovery time for HAI pump placement and/or liver resection?

Postby radnyc » Tue Feb 19, 2019 1:20 am

I had liver resection and hai pump placement at one time. Was out back home in 6 days. Just follow the nurses instructions and get out of bed as soon as you can.
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

Posts: 139
Joined: Thu Aug 09, 2018 10:15 am

Re: Recovery time for HAI pump placement and/or liver resection?

Postby hiker » Tue Feb 19, 2019 8:49 am

Hey gina,

My first surgery was a robotic colon resection at a local hospital. Second surgery was a wide open liver resection and HAI pump placement at MSK in NYC. Both were on Friday and I was out the following Wednesday. Main reason my stay was so long was because pain meds constipate me something terrible and they were waiting for me to poop. After both surgeries I was walking the next day. In fact the physical therapy folks at MSK said I was physically ready to be released after a couple days.

The only days I missed from work were the days I was in the hospital. I started working remotely from home the same day I was released. I was back part time in the office after a few weeks and full time not much after that. For my follow up appointment at MSK 10 days after surgery, I drove to NYC (3 1/2 - 4 hrs), walked a little over a mile toting a backpack full of stuff from the parking garage to my surgeon's office, and drove back home. Two weeks after surgery I was back on my zero turn cutting grass. And after a month, I did a 6 hr front end job on my car involving a lot of work with a 2' breaker bar and a 3lb hammer.

Obviously everyone's recovery is different. When I asked my MSK surgeon how hard I could push myself, he told me to do whatever I wanted within reason - his main concern was a hernia. I honestly think my recovery from the liver resection was easier than the colon resection even though the liver surgery was much more invasive. And if I had it to do over again, I would have gone to MSK and done everything in one surgery.

Colonoscopy 2/17, 5cm tumor descending
Diagnosed stage iv, liver mets 3/17
Colon resection 3/17
Told surgery not an option, get my affairs in order
Meet w/MSK team 5/01/17
Folfox(3rds) 5/17-6/17
Liver resection/implant HAI pump 7/17
HAI pump chemo(5rds) 8/17-2/18
Folfiri+Vectibix(11rds) 8/17-2/18
Spot on chest CT 10/17
Lung biopsy (that was fun) 11/17
Nocardia bacterial infection w/spread to brain (this is serious) 11/17
IV antibiotics 12/17-2/18
Oral antibiotics 3/18-12/18
Clear of cancer since surgery

Posts: 693
Joined: Sun Sep 13, 2015 6:16 pm

Re: Recovery time for HAI pump placement and/or liver resection?

Postby mariane » Tue Feb 19, 2019 3:02 pm

I have been in the hospital for 6 days because of the weekend and wait to check whether the pump is properly working. I had to stand up on the next day and walk a few laps on the corridor. The forum friends recommended me the laps. Walking kept me strong and active. I had 4 surgeries in less than a year along with tones of chemo. I got pump chemo a week after placing the pump. This harsh treatment worked because I got the best possible response, dead cancer. I flew from Atlanta to get my surgeries. I used to stay in NY for 1.5-2 weeks. I used to stay in a hotel for a week after my surgery to be close in case of any complications. My husband worked remotely from the hotel and I tried to walk every day a longer distance to stay strong . Everything will be well. The team in the hospital is excellent. Just don't hesitate to ask them.
Fingers crossed!
mom of now 12 years old twins, dx @ 40 in 6/2015 with upper rectal cancer, 10+ liver mets, CEA 140
chemo: 8/2015 - 10/2016 - 4xFOLFIRINOX, 2xFOLFOX, 8xFOLFIRI, 10x5FU, HAI pump -12xFUDR
4 surgeries, complete pathological response
CEA<2 since 10/2015
NED since May 2016

I praise God for every day with my family!

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