کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4280056 1611538 2011 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Safety and efficacy of hepatic vein reconstruction for colorectal liver metastases
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
پیش نمایش صفحه اول مقاله
Safety and efficacy of hepatic vein reconstruction for colorectal liver metastases
چکیده انگلیسی

BackgroundColorectal liver metastases with hepatic vein (HV) involvement may require combined resection of the liver and HV. However, the short- and long-term outcomes of such a procedure remain unclear.MethodsWe reviewed 16 cases of liver resection with major HV resection and reconstruction.ResultsThe patients had a median age of 58.5 years (range, 50–74 y). In total, 18 HVs were reconstructed using a customized great saphenous vein graft (n = 10), direct anastomosis (n = 1), external iliac vein (n = 2), portal vein (n = 1), umbilical vein patch graft (n = 3), or ovarian vein patch graft (n = 1). There was no hospital mortality, and the morbidity rate was 50%. With a median follow-up period of 30 months (range, 4–89 mo), 3 patients died of tumor recurrence and 13 were alive with (n = 6) and without (n = 7) disease. Cumulative 1-, 3-, and 5-year survival rates were 93%, 76%, and 76%, respectively.ConclusionsHV resection and reconstruction combined with liver resection can be performed safely with reasonable long-term results.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 202, Issue 4, October 2011, Pages 449–454
نویسندگان
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