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Full text not available from this repository. (Request a copy)Abstract
Background. Extensive, bilobular and multifocal colorectal livermetastases (CLM) or metastases that are critically situated require an experienced surgeon and advanced surgical techniques to enable curative resection. Objective. This article describes the toolbox of hepato-oncologic surgery including functional augmentation of liver segments by portal vein embolization/ligation, combinations of ablation and resection, two-stage resections and in situ split liver resection, also known as associating liver partition and portal vein ligation for staged hepatectomy (ALPPS). Furthermore, the curative resection of extrahepatic, oligometastatic disease are briefly discussed. Material and methods. Review of current literature as well as discussion of the ALPPS procedure, which was developed at our institute. Results. In recent years, oncologic resections for CLM have been significantly refined, leading to a constant increase of curative resection rates. Conclusion. In a multimodality treatment setting, surgical resection of CLM remains the gold standard curative approach and even in the event of presumed hopeless cases with extensive metastasis, experienced hepatobiliary surgeons must evaluate the resectability of colorectal metastases.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | NONRESECTABLE LIVER METASTASES; PORTAL-VEIN LIGATION; HEPATIC RESECTION; 2-STAGE HEPATECTOMY; RADIOFREQUENCY ABLATION; SURVIVAL; TRANSPLANTATION; RECURRENCE; ALPPS; METAANALYSIS; Liver metastasis; Liver resection; ALPPS; Portal vein ligation; Residual liver |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Chirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 16 Mar 2020 12:46 |
| Last Modified: | 16 Mar 2020 12:46 |
| URI: | https://pred.uni-regensburg.de/id/eprint/14981 |
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