Extreme Hepatic Surgery and Other Strategies (e-bok)
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E-bok
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EPUB med LCP-kryptering (0.0 MB)
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Kan laddas ned under 24 månader, dock max 6 gånger.
Språk
Engelska
Utgivningsdatum
2017-07-26
Förlag
Springer International Publishing
ISBN
9783319138961

Extreme Hepatic Surgery and Other Strategies E-bok

Increasing Resectability in Colorectal Liver Metastases

av Eduardo De Santibanes, Victoria Ardiles, Fernando A Alvarez, Virginia Cano Busnelli, Martin De Santibanes
E-bok (LCP),  Engelska, 2017-07-26
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This book describes the diagnoses; staging and management of patients with colorectal liver metastases initially considered unresectable and portrays the different strategies to increase resectability along with their tactics and tricks. Colorectal carcinoma is the third most commonly diagnosed cancer in the world and according to recent cancer statistics around 1.23 million patients are diagnosed each year. Of these patients, approximately 50% will develop liver metastases during the course of their disease and around 15-25% are found to have stage IV disease at diagnosis. Liver resection has been recognized as the treatment of choice for these patients, offering overall 5-year survival rates of up to 50-60% and the only hope for cure. However, at diagnosis only 10-20% of these patients are possibly amenable to surgical resection with curative intent. The possibility to achieve an R0 resection is many times limited by the amount and quality of the future liver remnant (FLR), being posthepatectomy liver failure (PHLF) the most feared and severe complication after major liver resections. With the years, diverse strategies have been developed with the intention to increase resectability by increasing the future liver remnant and/or reducing tumor size, e.g. ALPPS. Along with these techniques, associated surgeries are developed including multivisceral resections, which broadens even more the resectability for patients.
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